Claim total
$30,686.90
base $93.39 · payer covered $24,363.12
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2017-05-19
- Stop
- 2017-05-19
The parties
- Patient
- patient Kim Edmundo Rolfson
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
03d7ab8f-b989-4d49-bc81-8f2ae27ec1ce