Claim total
$15,068.25
base $155.66 · payer covered $7,128.08
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2026-05-15
- Stop
- 2026-05-15
The parties
- Patient
- patient Marilynn Jaimie Pouros
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
0126af27-a469-d3f6-f035-36f6b40edd7f