Claim total
$31,149.93
base $76.30 · payer covered $31,099.93
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2019-02-06
- Stop
- 2019-02-07
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
03ef4f74-940b-d219-fc76-5e74b4c226b7