Claim total
$1,087.20
base $155.66 · payer covered $869.76
The visit
- Class
- Ambulatory
- Code
- 310061009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2024-05-07
- Stop
- 2024-05-07
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Verdie Schowalter
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
03563bad-3832-f030-2ee6-f9f3097fe84c