Claim total
$34,972.86
base $76.30 · payer covered $34,922.86
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Primary small cell malignant neoplasm of lung, TNM stage 167811000119102
- Start
- 2022-08-16
- Stop
- 2022-08-19
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
02aef5a1-9ba3-229b-a22e-b4145d65b663