Claim total
$15,712.85
base $93.39 · payer covered $12,570.28
The visit
- Class
- Ambulatory
- Code
- 185389009
- 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-ee40-c935805b9583