Claim total
$220.91
base $93.39 · payer covered $70.91
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-02-25
- Stop
- 2021-02-25
The parties
- Patient
- patient Marvis Love Keebler
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
0aa35c19-5bf1-fbc8-de7a-63457df499b6