Claim total
$2,601.09
base $93.39 · payer covered $2,080.87
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2011-04-21
- Stop
- 2011-04-21
The parties
- Patient
- patient Adolph Winford Hyatt
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
1da1ccef-4f88-f506-01b8-e8c99d918120