Claim total
$6,089.89
base $93.39 · payer covered $6,039.89
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1983-06-16
- Stop
- 1983-06-16
The parties
- Patient
- patient Morris Hartmann
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicaid
Record id
36a22334-42e4-d3c9-1f42-d4fd4c9689b4