Claim total
$19,749.91
base $93.39 · payer covered $19,749.91
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 1995-04-29
- Stop
- 1995-04-29
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Earle Keeling
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0095f26f-6c35-6a9c-2313-3db9207171fc