Claim total
$23,927.52
base $76.30 · payer covered $23,877.52
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Primary small cell malignant neoplasm of lung, TNM stage 167811000119102
- Start
- 2022-09-13
- Stop
- 2022-09-17
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Morton Boyer
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
02aef5a1-9ba3-229b-4b01-fafdf91e6669