Claim total
$157.11
base $93.83 · payer covered $157.11
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept Chronic obstructive bronchitis185086009
- Start
- 1946-01-29
- Stop
- 1946-01-29
The parties
- Patient
- patient Astrid Doria Dach
- Provider
- provider Danilo Haley
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Humana
Record id
02e7d6ac-dd81-002b-8c4f-ffcf2b56e7ed