Claim total
$220.51
base $93.39 · payer covered $170.51
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-10-01
- Stop
- 2020-10-01
The parties
- Patient
- patient Pablo Adán Ayala
- Provider
- provider Mose Kertzmann
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
13927fe1-f295-7769-2571-37c0e238f885