Claim total
$80,781.49
base $76.30 · payer covered $80,731.49
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Primary small cell malignant neoplasm of lung, TNM stage 167811000119102
- Start
- 2023-02-13
- Stop
- 2023-02-25
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
02aef5a1-9ba3-229b-f677-c9ee5a8101d9