Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 439740005
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2022-01-01
- Stop
- 2022-01-01
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
0037332a-29d1-a298-d3f1-271055baec5a