Claim total
$220.48
base $93.39 · payer covered $70.48
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-11-17
- Stop
- 2020-11-18
The parties
- Patient
- patient Marcelino Sandy Grimes
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
119c5a6f-d47e-7703-3738-b898a437ea97