Claim total
$504.69
base $93.39 · payer covered $403.75
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Childhood asthma233678006
- Start
- 2023-04-28
- Stop
- 2023-04-28
The parties
- Patient
- patient Jess Thurman Luettgen
- Provider
- provider Danilo Davis
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
24096d22-1a21-4b00-07ba-b684a2666149