Claim total
$13,099.82
base $93.39 · payer covered $10,227.27
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2025-06-14
- Stop
- 2025-06-14
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Sharla Ziemann
- Payer
- payer Anthem
Record id
001727b6-dbde-2493-ee67-1dce79ed8d97