Claim total
$220.93
base $93.39 · payer covered $70.93
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-08-04
- Stop
- 2021-08-04
The parties
- Patient
- patient Glenna Ji Beier
- Provider
- provider Eddy Cassin
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
065fd330-0373-1cee-c8c9-c9281cf4cbae