Claim total
$4,910.86
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 1985-06-20
- Stop
- 1985-06-20
The parties
- Patient
- patient Raye Suzy Gusikowski
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
02c06e54-48b8-2b73-b85e-e18d71099ac2