Claim total
$4,004.23
base $93.39 · payer covered $3,203.37
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1985-06-05
- Stop
- 1985-06-05
The parties
- Patient
- patient Owen Moen
- Provider
- provider Laurene Rodriguez
- Payer
- payer Medicare
Record id
2f17d29a-ecaf-d52e-92ea-c66633710e38