Claim total
$3,006.98
base $155.66 · payer covered $2,405.59
The visit
- Class
- Ambulatory
- Code
- 310061009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2024-03-10
- Stop
- 2024-03-10
The parties
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-aa0d-148fd3249580