Claim total
$5,102.44
base $93.39 · payer covered $5,102.44
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 1995-05-31
- Stop
- 1995-05-31
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0095f26f-6c35-6a9c-04e8-79cf4cc5cd37