Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 2014-07-15
- Stop
- 2014-07-15
The parties
- Patient
- patient Shane Fredricka Sanford
- Provider
- provider Claud Braun
- Payer
- payer Medicare
Record id
0cc8b4ab-e908-a6cb-8ccf-485486460f3d