Claim total
$27,146.39
base $76.30 · payer covered $27,111.39
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Primary small cell malignant neoplasm of lung, TNM stage 167811000119102
- Start
- 2020-04-20
- Stop
- 2020-04-25
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
02aef5a1-9ba3-229b-e159-0d572e51f696