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
- 2021-01-06
- Stop
- 2021-01-06
The parties
- Patient
- patient Deandre Dylan Wisozk
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
198037c0-3402-fbe3-bd26-8d583025ea4b