Claim total
$89,332.97
base $76.30 · payer covered $89,332.97
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Primary small cell malignant neoplasm of lung, TNM stage 167811000119102
- Start
- 2021-02-12
- Stop
- 2021-02-19
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
02aef5a1-9ba3-229b-15ec-58b4393aecef