Claim total
$4,291.67
base $93.39 · payer covered $3,433.33
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2003-12-18
- Stop
- 2003-12-18
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-c162-b6c79f6bb485