Claim total
$26,531.30
base $76.30 · payer covered $21,225.04
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2008-02-29
- Stop
- 2008-03-04
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-dc8c-ef3da81b0b1d