Claim total
$5,102.44
base $93.39 · payer covered $4,081.94
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 2023-10-26
- Stop
- 2023-10-26
The parties
- Patient
- patient Alyson Janie Marquardt
- Provider
- provider Goldie O'Hara
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
00faac37-85e6-9663-6bd2-168cecc04d17