Claim total
$157.11
base $93.83 · payer covered $125.68
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2022-06-28
- Stop
- 2022-06-28
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Roslyn Reichel
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
- Payer
- payer Medicare
Record id
0037332a-29d1-a298-0950-9f3dce34370e