Claim total
$4,910.86
base $93.39 · payer covered $3,742.29
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2015-04-27
- Stop
- 2015-04-27
The parties
- Patient
- patient Eliseo Stewart Baumbach
- Provider
- provider Bryanna Zieme
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Medicare
Record id
047697e3-dcee-86e1-e21c-83ee64ab9a43