Claim total
$4,886.04
base $93.39 · payer covered $3,908.83
The visit
- Class
- Outpatient
- Code
- 185347001
- Reason
- diagnosis concept Non-small cell carcinoma of lung, TNM stage 1424132000
- Start
- 2007-09-11
- Stop
- 2007-09-11
The parties
- Patient
- patient Alden Raul Grady
- Provider
- provider Kelvin Reichel
- Payer
- payer Medicare
Record id
242df0d7-e6c5-1c3a-0634-0f547bc597f1