Claim total
$14,045.91
base $93.39 · payer covered $13,895.91
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2025-06-12
- Stop
- 2025-06-12
The parties
- Patient
- patient Gerardo Marvin Johns
- Provider
- provider Edmond Bauch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
01513b97-46a6-1303-ee00-679a3a421910