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
- 2012-06-24
- Stop
- 2012-06-24
The parties
- Patient
- patient Solomon Amado Purdy
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
1e6fa6a9-1f41-5355-d1e3-0227655e611e