Claim total
$4,658.82
base $93.39 · payer covered $3,727.05
The visit
- Class
- Ambulatory
- Code
- 185345009
- Reason
- diagnosis concept Suspected prostate cancer315268008
- Start
- 2025-11-28
- Stop
- 2025-11-28
The parties
- Patient
- patient Rosario Jim Braun
- Provider
- provider Janice Huel
- Payer
- payer Medicare
Record id
023d14fa-8b29-07fb-2290-4557b22da2d5