Claim total
$8,237.68
base $93.39 · payer covered $8,202.68
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2001-08-15
- Stop
- 2001-08-15
The parties
- Patient
- patient Len Wilbert Windler
- Provider
- provider Rosio Gleason
- Payer
- payer Dual Eligible
Record id
161124e8-a4e5-2a23-3151-0a7fe9e46b2c