Claim total
$275.81
base $155.66 · payer covered $220.65
The visit
- Class
- Ambulatory
- Code
- 410410006
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2025-11-17
- Stop
- 2025-11-17
The parties
- Patient
- patient Jani Yolando Nitzsche
- Provider
- provider Sharla Ziemann
- Payer
- payer Medicare
Record id
04f07ca4-67b1-b65a-81e0-edfb99967893