Claim total
$16,368.30
base $93.39 · payer covered $12,908.24
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2024-06-06
- Stop
- 2024-06-06
The parties
- Patient
- patient Denyse Fadel
- Provider
- provider Mathew Jones
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Medicare
Record id
048ae427-86b6-6ce9-a9e7-ac2af03ce9ac