Claim total
$220.26
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-11-08
- Stop
- 2020-11-08
The parties
- Patient
- patient Alvin Raymond Wilderman
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer UnitedHealthcare
Record id
2d01a944-5d28-8528-c379-47f7f349cd8a