Claim total
$536.30
base $125.00 · payer covered $501.30
The visit
- Class
- Virtual
- Code
- 439740005
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2022-06-01
- Stop
- 2022-06-01
The parties
- Patient
- patient Rocio Margarita Alcaraz
- Provider
- provider Claud Braun
- Payer
- payer Dual Eligible
Record id
0274bb53-c777-eb96-1d58-64bd0689e8ac