Claim total
$14,523.85
base $93.39 · payer covered $14,473.85
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2025-09-15
- Stop
- 2025-09-15
The parties
- Patient
- patient Joe Maximo Kozey
- Provider
- provider Horacio Casas
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicaid
Record id
0135e6bd-cd4d-6318-b8b0-f91df2cff5f1