Claim total
$102,939.80
base $76.30 · payer covered $102,939.80
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Primary small cell malignant neoplasm of lung, TNM stage 167811000119102
- Start
- 2020-09-01
- Stop
- 2020-09-10
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
02aef5a1-9ba3-229b-b265-69600a277005