Claim total
$9,994.84
base $93.39 · payer covered $9,959.84
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 2015-10-03
- Stop
- 2015-10-04
The parties
- Patient
- patient Elwood Eduardo Crooks
- Provider
- provider Kim Lind
- Payer
- payer Dual Eligible
Record id
10be41c6-8ca0-2da8-5b48-d3f34ec3cdf0