Claim total
$141.87
base $93.39 · payer covered $99.31
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2025-10-15
- Stop
- 2025-10-15
The parties
- Patient
- patient Xochitl Bryanna Toy
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
379be1b0-73f0-ef08-2fb2-15919c1bf0fa