Claim total
$217.69
base $93.39 · payer covered $174.15
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2020-01-27
- Stop
- 2020-01-27
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-9b6d-da232ebf5412