Claim total
$14,441.71
base $93.39 · payer covered $8,665.02
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2023-05-07
- Stop
- 2023-05-07
The parties
- Patient
- patient Boyce Jerrold Johns
- Provider
- provider Horacio Casas
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Humana
Record id
18cbb615-420a-8641-de8a-e7e1597371b3