Claim total
$157.11
base $93.83 · payer covered $122.11
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept Chronic obstructive bronchitis185086009
- Start
- 1981-04-17
- Stop
- 1981-04-17
The parties
- Patient
- patient Arthur Pablo Greenfelder
- Provider
- provider Dexter Yundt
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Dual Eligible
Record id
028512d5-49bb-87e7-23f8-f582d13c3d62