Claim total
$1,309.63
base $155.66 · payer covered $1,047.71
The visit
- Class
- Ambulatory
- Code
- 310061009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2025-07-09
- Stop
- 2025-07-09
The parties
- Provider
- provider Rolando Mitchell
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-159e-b6693203a223