Claim total
$3,635.32
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1983-11-04
- Stop
- 1983-11-04
The parties
- Patient
- patient Geoffrey Kilback
- Provider
- provider Andria Spinka
- Payer
- payer No insurance
Record id
27d28cce-29f9-127f-fb53-4387b59a707d