Claim total
$3,405.37
base $93.39 · payer covered $2,724.29
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-05-22
- Stop
- 2026-05-22
The parties
- Patient
- patient Shanti Violette Leffler
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
18176e60-061d-0ce9-9f83-5e301dc51a58