Claim total
$12,529.93
base $93.39 · payer covered $10,023.94
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2018-02-28
- Stop
- 2018-02-28
The parties
- Patient
- patient Brenna Gricelda Lind
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0291d14d-46f7-a76b-33ab-ccc7999d2072