Claim total
$31,480.95
base $76.30 · payer covered $31,445.95
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Overlapping malignant neoplasm of colon109838007
- Start
- 2025-03-05
- Stop
- 2025-03-08
The parties
- Patient
- patient Ray Wallace Langworth
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
2485aef5-15a8-d55e-09c2-d8efb161d82c