Claim total
$10,255.44
base $76.30 · payer covered $8,204.35
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 1994-11-22
- Stop
- 1995-01-01
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0095f26f-6c35-6a9c-b092-c7ad4927702e