Claim total
$52,484.00
base $76.30 · payer covered $41,987.20
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2004-03-01
- Stop
- 2004-03-04
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Hazel Effertz
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-a389-715b95a5c826