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
- 2016-11-12
- Stop
- 2016-11-12
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Sharla Ziemann
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-161f-939dbb799cc5