Claim total
$4,144.99
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Malignant neoplasm of breast254837009
- Start
- 1995-06-29
- Stop
- 1995-07-01
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer No insurance
Record id
056f2732-3438-a432-adb5-208887aac725