Claim total
$1,067.14
base $155.66 · payer covered $853.71
The visit
- Class
- Ambulatory
- Code
- 310061009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2018-08-19
- Stop
- 2018-08-19
The parties
- Patient
- patient Rocio Margarita Alcaraz
- Provider
- provider Claud Braun
- Payer
- payer Medicare
Record id
0274bb53-c777-eb96-0dd2-d37acff24bd6