Claim total
$4,910.86
base $93.39 · payer covered $3,928.69
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2004-04-12
- Stop
- 2004-04-12
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Walter Volkman
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-f96c-528cfc161b7f