Claim total
$290.02
base $155.66 · payer covered $232.02
The visit
- Class
- Ambulatory
- Code
- 410410006
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2018-05-13
- Stop
- 2018-05-13
The parties
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-e2c9-14b20eb8bc95