Claim total
$566.96
base $155.66 · payer covered $453.57
The visit
- Class
- Ambulatory
- Code
- 439740005
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2024-07-21
- Stop
- 2024-07-21
The parties
- Provider
- provider Rolando Mitchell
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-b569-28af3a3c0876