Claim total
$28,578.30
base $76.30 · payer covered $22,862.64
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2005-04-29
- Stop
- 2005-05-02
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Hazel Effertz
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-9765-3a1ebd81023f