Claim total
$6,323.87
base $93.39 · payer covered $6,273.87
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2016-11-21
- Stop
- 2016-11-21
The parties
- Patient
- patient Erick Dee Langworth
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicaid
Record id
238d0bff-6fe3-978f-3279-b90db492896a