Claim total
$93.39
base $93.39 · payer covered $39.07
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Viral sinusitis444814009
- Start
- 2018-01-10
- Stop
- 2018-01-10
The parties
- Patient
- patient Verona Ginger O'Keefe
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer UnitedHealthcare
Record id
04161a30-0372-a815-b843-703658655ef0