Claim total
$9,533.73
base $93.39 · payer covered $7,626.97
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 2010-03-07
- Stop
- 2010-03-07
The parties
- Patient
- patient Maria Jerrell Bechtelar
- Provider
- provider Kelvin Reichel
- Payer
- payer Medicare
Record id
0fb9a374-3017-65cf-b990-41fe208e47b2