Claim total
$37,407.08
base $76.30 · payer covered $29,925.67
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2004-09-13
- Stop
- 2004-09-16
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-cf64-d7082620fb3d