Claim total
$19,824.17
base $93.39 · payer covered $19,774.17
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2022-07-12
- Stop
- 2022-07-12
The parties
- Patient
- patient Eulah Avril Aufderhar
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicaid
Record id
02aef5a1-9ba3-229b-49ef-c34724610084