Claim total
$4,910.86
base $93.39 · payer covered $4,860.86
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2020-02-24
- Stop
- 2020-02-24
The parties
- Patient
- patient Rocio Margarita Alcaraz
- Provider
- provider Claud Braun
- Payer
- payer Medicaid
Record id
0274bb53-c777-eb96-2220-dd4bfc741ddc