Claim total
$9,994.84
base $93.39 · payer covered $6,490.47
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 2016-01-02
- Stop
- 2016-01-02
The parties
- Patient
- patient Casey Treutel
- Provider
- provider Criselda Bartell
- Payer
- payer Cigna Health
Record id
0b6d09f4-c9b5-25ee-3db3-7b531758a236