Claim total
$9,994.84
base $93.39 · payer covered $7,995.86
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 2013-06-02
- Stop
- 2013-06-02
The parties
- Patient
- patient Hubert Carey Donnelly
- Provider
- provider Kim Lind
- Payer
- payer Medicare
Record id
2d78cd30-6b9a-db6f-c5ba-de66fed15ead