Claim total
$9,994.84
base $93.39 · payer covered $7,995.86
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1991-02-27
- Stop
- 1991-02-27
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Hazel Effertz
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-7cc3-2a2294e6276c