Claim total
$5,102.44
base $93.39 · payer covered $5,102.44
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Malignant neoplasm of colon363406005
- Start
- 2024-01-31
- Stop
- 2024-01-31
The parties
- Patient
- patient Alyson Janie Marquardt
- Provider
- provider Simon Bode
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
00faac37-85e6-9663-b2c9-202ea8156344