Claim total
$64,062.74
base $76.30 · payer covered $64,012.74
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Primary small cell malignant neoplasm of lung, TNM stage 167811000119102
- Start
- 2022-12-19
- Stop
- 2022-12-24
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
02aef5a1-9ba3-229b-c18f-4a9470d317a9