Claim total
$71,331.17
base $76.30 · payer covered $71,296.17
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Primary small cell malignant neoplasm of lung, TNM stage 167811000119102
- Start
- 2019-10-18
- Stop
- 2019-10-25
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
02aef5a1-9ba3-229b-5acc-85881aa8c7da