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
- 2023-02-24
- Stop
- 2023-02-24
The parties
- Patient
- patient Alphonse Ricky Bernhard
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
2e3c3108-70f2-7f33-e64b-e6cf7d9daf22