Claim total
$7,018.18
base $127.17 · payer covered $0.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Suspected lung cancer162573006
- Start
- 2018-12-19
- Stop
- 2018-12-19
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Emerson Jast
- Care site
- care site SOUTHSIDE COMMUNITY CLINIC
- Payer
- payer No insurance
Record id
02aef5a1-9ba3-229b-adf6-9d8ac0f131ff