Claim total
$3,257.40
base $127.17 · payer covered $2,605.92
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Suspected lung cancer162573006
- Start
- 2003-11-05
- Stop
- 2003-11-05
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Sonny Zboncak
- Care site
- care site CREST VIEW LUTHERAN HOME
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-4cd9-331365866f74