Claim total
$31,149.93
base $76.30 · payer covered $21,804.95
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2022-04-29
- Stop
- 2022-05-02
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
Record id
03563bad-3832-f030-d440-75c595ade5b0