Claim total
$93.39
base $93.39 · payer covered $58.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 1986-01-14
- Stop
- 1986-01-14
The parties
- Patient
- patient Heike Nelida Olson
- Provider
- provider Stephane Schuppe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
195810b4-1136-614f-681a-53c7f87e3f3f