Claim total
$9,994.84
base $93.39 · payer covered $7,995.86
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 2011-05-16
- Stop
- 2011-05-17
The parties
- Patient
- patient Eddie Byron McClure
- Provider
- provider Hazel Effertz
- Payer
- payer Medicare
Record id
0681fdac-334f-0741-43d8-74cf8891ebb6