Claim total
$8,055.14
base $93.39 · payer covered $6,444.11
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2013-01-03
- Stop
- 2013-01-03
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Horacio Casas
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
058279b6-7701-4823-8331-b982c2c54c1c