Claim total
$3,635.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1989-06-23
- Stop
- 1989-06-23
The parties
- Patient
- patient Daniel Carlos Acosta
- Provider
- provider Hazel Effertz
- Payer
- payer No insurance
Record id
1bc96a10-ad49-d71d-b81f-67ab3adf0db9