Claim total
$566.96
base $155.66 · payer covered $267.17
The visit
- Class
- Ambulatory
- Code
- 439740005
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2022-04-20
- Stop
- 2022-04-20
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0037332a-29d1-a298-7d1f-e1b1042c22b1