Claim total
$5,138.66
base $93.39 · payer covered $3,924.53
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2000-12-14
- Stop
- 2000-12-14
The parties
- Patient
- patient Donn Jason Stanton
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
1865a78e-26da-9b77-a844-3ad5da6c34ad