Claim total
$2,033.46
base $155.66 · payer covered $1,626.77
The visit
- Class
- Ambulatory
- Code
- 310061009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2019-05-14
- Stop
- 2019-05-14
The parties
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-e92b-e84652344e93