Claim total
$566.96
base $155.66 · payer covered $516.96
The visit
- Class
- Ambulatory
- Code
- 223484005
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2019-01-30
- Stop
- 2019-01-31
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Mitch Murazik
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
03ef4f74-940b-d219-4946-3a6381808512