Claim total
$221.46
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 410410006
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2023-06-23
- Stop
- 2023-06-23
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
03563bad-3832-f030-5a08-c10a0fdd5624