Claim total
$19,363.28
base $93.39 · payer covered $19,213.28
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 2020-06-12
- Stop
- 2020-06-12
The parties
- Patient
- patient Gerardo Marvin Johns
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
01513b97-46a6-1303-c6fd-fdf7b09578ae