Claim total
$228.45
base $155.66 · payer covered $178.45
The visit
- Class
- Ambulatory
- Code
- 410410006
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2023-01-05
- Stop
- 2023-01-05
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
03ef4f74-940b-d219-6b3d-05ae3219b109