Claim total
$11,088.11
base $93.39 · payer covered $11,053.11
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2018-04-22
- Stop
- 2018-04-22
The parties
- Patient
- patient María del Carmen Berríos
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Dual Eligible
Record id
016a1a5e-4450-7aaa-10ba-acce0517db2e