Claim total
$6,836.57
base $93.39 · payer covered $5,469.24
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1984-06-16
- Stop
- 1984-06-17
The parties
- Patient
- patient Harland Carmine Herzog
- Provider
- provider Myrtie Bosco
- Care site
- care site Brooklyn Park Vet Center
- Payer
- payer Medicare
Record id
0302711f-bc3a-898e-3b3b-9118573c5a54