Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 1986-01-03
- Stop
- 1986-01-03
The parties
- Patient
- patient Neta Merlyn Jacobi
- Provider
- provider Lauren Schroeder
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
23e58a81-7a21-4aa2-9693-a9848fc4a2ab