Claim total
$2,601.09
base $93.39 · payer covered $2,531.23
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-01-31
- Stop
- 2026-01-31
The parties
- Patient
- patient Guillermo Elden Kovacek
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
30c16d5b-cbcb-2eac-993c-2a879d0a0518