Claim total
$5,924.87
base $93.39 · payer covered $4,739.89
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2008-02-20
- Stop
- 2008-02-20
The parties
- Patient
- patient Dannie Timmy Koepp
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
25f2b1e8-809d-dfd9-21a8-e684f2689e1b