Claim total
$111,889.16
base $76.30 · payer covered $111,839.16
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Primary small cell malignant neoplasm of lung, TNM stage 167811000119102
- Start
- 2022-11-10
- Stop
- 2022-11-23
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
02aef5a1-9ba3-229b-3cf2-d8f5e57020d9