Claim total
$10,255.44
base $76.30 · payer covered $10,220.44
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 1986-01-25
- Stop
- 1986-01-26
The parties
- Patient
- patient Heike Nelida Olson
- Provider
- provider Stephane Schuppe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
195810b4-1136-614f-41b4-f51ad4cae44a