Claim total
$93.39
base $93.39 · payer covered $56.03
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Acute bronchitis10509002
- Start
- 2026-06-28
- Stop
- 2026-06-28
The parties
- Patient
- patient Erna Gayla Mayert
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
30cfe8d1-eb95-8f71-9eb6-801ea7d2b955