Claim total
$1,180.47
base $155.66 · payer covered $944.38
The visit
- Class
- Ambulatory
- Code
- 310061009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2026-06-15
- Stop
- 2026-06-15
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
056f2732-3438-a432-4c38-92f39fc04d92