Claim total
$3,635.32
base $93.39 · payer covered $3,585.32
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 2012-10-02
- Stop
- 2012-10-03
The parties
- Patient
- patient Erick Dee Langworth
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicaid
Record id
238d0bff-6fe3-978f-e7ac-837c5b0c19f6