Claim total
$223.03
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
- 2021-01-02
- Stop
- 2021-01-02
The parties
- Patient
- patient Elijah Salvador Beatty
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
3815dfc0-6518-73bc-dc45-a0718484b914