Claim total
$1,060.52
base $155.66 · payer covered $1,025.52
The visit
- Class
- Ambulatory
- Code
- 310061009
- 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-e8f7-f36e6983037a