Claim total
$3,459.92
base $155.66 · payer covered $2,767.94
The visit
- Class
- Ambulatory
- Code
- 310061009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2018-09-04
- Stop
- 2018-09-04
The parties
- Provider
- provider Rolando Mitchell
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-3db6-82c38bef2a8b