Claim total
$3,585.55
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Small cell carcinoma of lung254632001
- Start
- 2018-12-24
- Stop
- 2018-12-24
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Darnell Reynolds
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
02aef5a1-9ba3-229b-5a34-ca5aaf0223bd