Claim total
$25,425.52
base $76.30 · payer covered $25,375.52
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 1986-01-11
- Stop
- 1986-01-18
The parties
- Patient
- patient Neta Merlyn Jacobi
- Provider
- provider Bessie Kling
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
23e58a81-7a21-4aa2-223b-ffe504930ff7