Claim total
$253.28
base $155.66 · payer covered $202.63
The visit
- Class
- Ambulatory
- Code
- 410410006
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2019-08-01
- Stop
- 2019-08-01
The parties
- Provider
- provider Rolando Mitchell
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-f6bb-7a29a82c3abc