Claim total
$380.89
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-03-18
- Stop
- 2026-03-18
The parties
- Patient
- patient Stewart Dean Pouros
- Provider
- provider Clint Witting
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
1135afcc-5534-4bcf-e2cb-d183041a1346