Claim total
$157.11
base $93.83 · payer covered $125.68
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 1998-09-08
- Stop
- 1998-09-08
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Kathern Krajcik
- Care site
- care site FAMILY LINK SOCIAL SERVICES
- Payer
- payer Medicare
Record id
0095f26f-6c35-6a9c-0199-07d0bb63b1e4