Claim total
$13,986.60
base $76.30 · payer covered $11,189.28
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 1989-06-26
- Stop
- 1989-07-12
The parties
- Patient
- patient Trena Melia Rempel
- Provider
- provider Candelaria Hintz
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
08f81ff0-ea1a-59df-38b8-d0eaf7f0db45