Claim total
$3,893.47
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Suspected lung cancer162573006
- Start
- 2018-12-23
- Stop
- 2018-12-23
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer No insurance
Record id
02aef5a1-9ba3-229b-4196-0def01153f85