Claim total
$13,768.29
base $93.39 · payer covered $11,014.63
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Suspected lung cancer162573006
- Start
- 2003-11-11
- Stop
- 2003-11-11
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-b0c4-96a7aefc789a