Claim total
$9,338.66
base $93.39 · payer covered $1,946.80
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2022-12-20
- Stop
- 2022-12-20
The parties
- Patient
- patient Nichol Clara Predovic
- Provider
- provider Stephaine O'Keefe
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Humana
Record id
0130f9d2-4df9-4b02-71fb-60aecd216184