Claim total
$95,997.04
base $76.30 · payer covered $95,997.04
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Primary small cell malignant neoplasm of lung, TNM stage 167811000119102
- Start
- 2020-11-01
- Stop
- 2020-11-11
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
02aef5a1-9ba3-229b-ea34-428004c0b882