Claim total
$21,519.43
base $76.30 · payer covered $17,215.54
The visit
- Class
- Inpatient
- Code
- 185347001
- Reason
- diagnosis concept Overlapping malignant neoplasm of colon109838007
- Start
- 2006-05-13
- Stop
- 2006-05-15
The parties
- Patient
- patient Jayne Abshire
- Provider
- provider Rolando Mitchell
- Payer
- payer Medicare
Record id
2062b820-246f-b872-2b47-734c2468de3a