Claim total
$3,998.25
base $93.39 · payer covered $3,963.25
The visit
- Class
- Ambulatory
- Code
- 185389009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2022-02-07
- Stop
- 2022-02-07
The parties
- Patient
- patient Bess Mindy Boyer
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
03ef4f74-940b-d219-b5c3-71806a3e41e8