Claim total
$220.35
base $93.39 · payer covered $170.35
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2020-11-26
- Stop
- 2020-11-26
The parties
- Patient
- patient Marina Jacque Carter
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
2d76e265-c083-ae5f-ad31-430482e52505