Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Primary malignant neoplasm of colon93761005
- Start
- 2017-05-29
- Stop
- 2017-05-29
The parties
- Patient
- patient Aaron Damian Monahan
- Provider
- provider Rosina Schaden
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
2e41f5fb-baf0-ed26-3e08-26620970e1d8