Claim total
$9,994.84
base $93.39 · payer covered $9,944.84
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1983-03-07
- Stop
- 1983-03-07
The parties
- Patient
- patient Brendon Donnelly
- Provider
- provider Kim Lind
- Payer
- payer Medicaid
Record id
28e5fd76-511f-60bb-b981-9eaefb2d4f4f