Claim total
$15,214.42
base $93.39 · payer covered $15,179.42
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2021-01-28
- Stop
- 2021-01-28
The parties
- Patient
- patient Edison Sterling Batz
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
08777515-d11a-6c50-2ee1-7fcd261d36bc