Claim total
$566.96
base $155.66 · payer covered $396.87
The visit
- Class
- Ambulatory
- Code
- 223484005
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2022-04-26
- Stop
- 2022-04-27
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
03563bad-3832-f030-608f-a25f22e0095e