Claim total
$504.69
base $93.39 · payer covered $504.69
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2022-05-20
- Stop
- 2022-05-20
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
03563bad-3832-f030-6937-da898b0498e2