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
- 2015-02-07
- Stop
- 2015-02-08
The parties
- Patient
- patient Adrian Lauren McKenzie
- Provider
- provider Kelvin Reichel
- Payer
- payer Medicare
Record id
17f016d2-a88a-bd03-6d25-81911548fdfa