Claim total
$19,363.28
base $93.39 · payer covered $7,961.57
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2021-01-11
- Stop
- 2021-01-12
The parties
- Patient
- patient Chia Jalisa Champlin
- Provider
- provider Sharla Ziemann
- Payer
- payer Aetna
Record id
03f9d33d-12ca-f1a8-576a-65a4a391a086