Claim total
$9,994.84
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1987-04-16
- Stop
- 1987-04-16
The parties
- Patient
- patient Dannie Timmy Koepp
- Provider
- provider Criselda Bartell
- Payer
- payer No insurance
Record id
25f2b1e8-809d-dfd9-4d9d-489e5038520f