Claim total
$220.26
base $93.39 · payer covered $176.20
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-05-30
- Stop
- 2020-05-30
The parties
- Patient
- patient Hilton Marcelino Friesen
- Provider
- provider Adaline O'Reilly
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
069d1f4a-1b6f-6d04-a1df-c7b763eb6c8d