Claim total
$220.26
base $93.39 · payer covered $170.26
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-01-25
- Stop
- 2021-01-25
The parties
- Patient
- patient Darin Seymour Bartell
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
19a58afe-af3e-3190-d50f-e8bc50f97520