Claim total
$247.32
base $155.66 · payer covered $212.32
The visit
- Class
- Ambulatory
- Code
- 410410006
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2022-02-07
- Stop
- 2022-02-07
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
03ef4f74-940b-d219-d144-26d5f07067c0