Claim total
$9,994.84
base $93.39 · payer covered $9,944.84
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 2013-05-28
- Stop
- 2013-05-29
The parties
- Patient
- patient Woodrow Brett Bruen
- Provider
- provider Hazel Effertz
- Payer
- payer Medicaid
Record id
19bee1be-920a-c2f2-a9ba-da321d68f809