Claim total
$3,635.32
base $93.39 · payer covered $2,908.24
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1997-11-15
- Stop
- 1997-11-15
The parties
- Patient
- patient Ellis Gary Cronin
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicare
Record id
0c89b8f2-1b95-b082-ebce-e1b7663850f8