Claim total
$21,939.30
base $93.39 · payer covered $17,365.04
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2021-07-25
- Stop
- 2021-07-25
The parties
- Patient
- patient Cristy Exie Pouros
- Provider
- provider Tomas Fisher
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
034e20ab-aae7-ddf8-5047-0e25db618197