Claim total
$220.58
base $93.39 · payer covered $70.58
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected disease caused by Severe acute respiratory coronavirus 2840544004
- Start
- 2021-02-23
- Stop
- 2021-02-23
The parties
- Patient
- patient Yolonda Elsie Kerluke
- Provider
- provider Mary Harvey
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
345610d9-6239-0e78-7c4c-652efc3de9ea