Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-09-07
- Stop
- 2025-09-07
The parties
- Patient
- patient Jacquelin Leffler
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Anthem
Record id
1238e43a-68f7-e8e8-13c3-3aeb8bc3508c