Claim total
$376.80
base $93.39 · payer covered $301.44
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-03-02
- Stop
- 2025-03-02
The parties
- Patient
- patient Mickey Goldner
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
39934531-f753-1291-aaa6-2a2029a172c7