Claim total
$1,914.53
base $155.66 · payer covered $1,879.53
The visit
- Class
- Ambulatory
- Code
- 310061009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2023-05-23
- Stop
- 2023-05-23
The parties
- Patient
- patient Rocio Margarita Alcaraz
- Provider
- provider Claud Braun
- Payer
- payer Dual Eligible
Record id
0274bb53-c777-eb96-eefb-82e2d4d7145f