Claim total
$19,363.28
base $93.39 · payer covered $19,213.28
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2024-11-17
- Stop
- 2024-11-17
The parties
- Patient
- patient Jon Lavern Baumbach
- Provider
- provider Thurman Pfannerstill
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicaid
Record id
033f4a7e-c2bc-1f12-6358-e3223d8bd4c8