Claim total
$233.58
base $155.66 · payer covered $198.58
The visit
- Class
- Ambulatory
- Code
- 410410006
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2023-05-23
- Stop
- 2023-05-23
The parties
- Patient
- patient Rocio Margarita Alcaraz
- Provider
- provider Claud Braun
- Payer
- payer Dual Eligible
Record id
0274bb53-c777-eb96-2712-86d2f447c8ba