Claim total
$9,568.12
base $93.39 · payer covered $9,568.12
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Primary small cell malignant neoplasm of lung, TNM stage 167811000119102
- Start
- 2023-04-04
- Stop
- 2023-04-04
The parties
- Patient
- patient Markus Jessie Raynor
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
1e568894-7298-c9fd-64bd-b6965a9fd084