Claim total
$4,910.86
base $93.39 · payer covered $4,910.86
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 1997-01-03
- Stop
- 1997-01-03
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kelvin Reichel
Record id
062f00f9-5db0-55c4-41bd-8fe7e89109e9