Claim total
$243.40
base $155.66 · payer covered $194.72
The visit
- Class
- Ambulatory
- Code
- 410410006
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2018-09-04
- Stop
- 2018-09-04
The parties
- Provider
- provider Shayna Greenholt
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-e5a0-839fa85881d9