Claim total
$6,116.96
base $93.39 · payer covered $6,066.96
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1996-12-18
- Stop
- 1996-12-18
The parties
- Patient
- patient Eloy Mosciski
- Provider
- provider Rosio Gleason
- Payer
- payer Medicaid
Record id
22bf68a7-fc86-adb6-61fc-dad7d6e2958c