Claim total
$3,635.32
base $93.39 · payer covered $3,600.32
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Neoplasm of prostate126906006
- Start
- 1989-05-29
- Stop
- 1989-05-29
The parties
- Patient
- patient Elden Cary DuBuque
- Provider
- provider Lovie Turcotte
- Payer
- payer Dual Eligible
Record id
2f6fe81f-21ca-2f76-3e93-cad8e53968a1