Claim total
$2,830.29
base $155.66 · payer covered $2,795.29
The visit
- Class
- Ambulatory
- Code
- 310061009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2021-06-25
- Stop
- 2021-06-25
The parties
- Patient
- patient Rocio Margarita Alcaraz
- Provider
- provider Claud Braun
- Payer
- payer Dual Eligible
Record id
0274bb53-c777-eb96-2398-fa650b5c9401