Claim total
$223.23
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
- 2021-02-16
- Stop
- 2021-02-16
The parties
- Patient
- patient Ellyn Rosalyn Buckridge
- Provider
- provider Alonso Hackett
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer UnitedHealthcare
Record id
30b4f96d-c533-f7b3-1dfc-97c4a5cb081a