Claim total
$10,921.67
base $93.39 · payer covered $5,594.99
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2017-12-20
- Stop
- 2017-12-20
The parties
- Patient
- patient Nichol Clara Predovic
- Provider
- provider Julia Dueñas
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0130f9d2-4df9-4b02-4796-3d3e494645a6