Claim total
$5,670.90
base $93.39 · payer covered $4,536.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1991-11-24
- Stop
- 1991-11-25
The parties
- Patient
- patient Colby Wintheiser
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
20bc4efb-24a4-91b5-ac6b-cd9afcc8bf42