Claim total
$4,910.86
base $93.39 · payer covered $4,875.86
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 1982-07-15
- Stop
- 1982-07-15
The parties
- Patient
- patient Leroy Jimmy Wintheiser
- Provider
- provider Rosio Gleason
- Payer
- payer Dual Eligible
Record id
04371635-b149-02a5-dbfe-552c59f0e4c0