Claim total
$16,886.53
base $93.39 · payer covered $13,509.22
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2021-12-25
- Stop
- 2021-12-25
The parties
- Patient
- patient Grover Dario Welch
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
274aa74a-1b08-ee17-ea39-a486e56d43fc