Claim total
$3,635.32
base $93.39 · payer covered $2,908.24
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 2015-11-01
- Stop
- 2015-11-01
The parties
- Patient
- patient Pete Roberto Streich
- Provider
- provider Hazel Effertz
- Payer
- payer Medicare
Record id
29a638b7-ee8f-0f2e-0f6b-8619eab65a66