Claim total
$636.38
base $93.39 · payer covered $533.98
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-01-19
- Stop
- 2026-01-19
The parties
- Patient
- patient Elijah Ellis Skiles
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
29599f43-c6ee-475e-a6e7-c1eaf434087f