Claim total
$14,739.29
base $93.39 · payer covered $11,791.43
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell lung cancer254637007
- Start
- 2003-12-17
- Stop
- 2003-12-17
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Kim Lind
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-37bf-39b8597613ca