Claim total
$4,910.86
base $93.39 · payer covered $4,760.86
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2020-07-24
- Stop
- 2020-07-24
The parties
- Patient
- patient Wilson Teodoro Kihn
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
04540647-5ff4-de4a-f706-c92bf6158ef4