Claim total
$5,335.28
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-05-19
- Stop
- 2026-05-19
The parties
- Patient
- patient Leonard Zachery Jast
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
19b5cd44-0ae9-6290-90a8-98c12707432f