Claim total
$252.65
base $155.66 · payer covered $202.12
The visit
- Class
- Ambulatory
- Code
- 410410006
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 2022-07-18
- Stop
- 2022-07-18
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
056f2732-3438-a432-933b-6f2cb0606493