Claim total
$130.02
base $93.39 · payer covered $60.16
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2021-12-01
- Stop
- 2021-12-01
The parties
- Patient
- patient Marci Floy Osinski
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
15120c17-c8d7-3c84-e528-d6d7e5eea864