Claim total
$4,097.34
base $93.39 · payer covered $4,062.34
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1988-01-24
- Stop
- 1988-01-25
The parties
- Patient
- patient Whitney Gonzalo Spinka
- Provider
- provider Kelvin Reichel
- Payer
- payer Dual Eligible
Record id
3993c7c5-7c54-f876-ec9f-4d9536997a8b