Claim total
$4,910.86
base $93.39 · payer covered $3,490.34
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 2019-06-19
- Stop
- 2019-06-19
The parties
- Patient
- patient Alison Ashlea Frami
- Provider
- provider Rolando Mitchell
- Payer
- payer Anthem
Record id
023818a4-3852-fbab-2f12-97275ccc7034