Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 1989-06-15
- Stop
- 1989-06-15
The parties
- Patient
- patient Trena Melia Rempel
- Provider
- provider Willie Simonis
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
08f81ff0-ea1a-59df-04d3-29125613a462