Claim total
$220.36
base $93.39 · payer covered $70.36
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-07-11
- Stop
- 2021-07-12
The parties
- Patient
- patient Domonique Lelia Padberg
- Provider
- provider Grazyna Sauer
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
1cc0cde3-5798-4cc6-ca54-e3ca01186513