Claim total
$330.05
base $155.66 · payer covered $264.04
The visit
- Class
- Ambulatory
- Code
- 410410006
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2021-07-17
- Stop
- 2021-07-17
The parties
- Provider
- provider Shayna Greenholt
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-c817-e24ff9821b7d