Claim total
$4,910.86
base $93.39 · payer covered $2,762.29
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2022-05-21
- Stop
- 2022-05-21
The parties
- Patient
- patient Amanda Kelsey Daugherty
- Provider
- provider Thurman Pfannerstill
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Anthem
Record id
00a2ce2f-1e05-ab20-e154-f2a9e0ef6fc1