Claim total
$221.46
base $155.66 · payer covered $177.17
The visit
- Class
- Ambulatory
- Code
- 410410006
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2017-08-24
- Stop
- 2017-08-24
The parties
- Provider
- provider Rolando Mitchell
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-cc30-f09bb3e1d3df