Claim total
$4,291.67
base $93.39 · payer covered $4,241.67
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 1995-07-13
- Stop
- 1995-07-13
The parties
- Patient
- patient Crista Kristin Stehr
- Provider
- provider Sharla Ziemann
- Payer
- payer Medicaid
Record id
1ebf266f-db79-48d9-7ba3-a025a3b92e4a