Claim total
$2,479.60
base $155.66 · payer covered $1,983.68
The visit
- Class
- Ambulatory
- Code
- 310061009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2022-07-21
- Stop
- 2022-07-21
The parties
- Provider
- provider Shayna Greenholt
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-75da-81a279e57d75