Claim total
$159.52
base $93.39 · payer covered $127.61
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-05-26
- Stop
- 2026-05-26
The parties
- Patient
- patient Sal Graig Wunsch
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
073f0b4c-738b-da59-6c9f-ee20d2fc327a