Claim total
$4,419.49
base $93.39 · payer covered $4,369.49
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1991-12-22
- Stop
- 1991-12-23
The parties
- Patient
- patient Erich Leffler
- Provider
- provider Criselda Bartell
- Payer
- payer Medicaid
Record id
2b764b05-4e2e-e4ab-d652-fe3c2351eeb2