Claim total
$261.55
base $155.66 · payer covered $209.24
The visit
- Class
- Ambulatory
- Code
- 410410006
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2025-03-12
- Stop
- 2025-03-12
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
03563bad-3832-f030-732d-9e53aa63b92d