Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Primary malignant neoplasm of colon93761005
- Start
- 2024-10-26
- Stop
- 2024-10-26
The parties
- Patient
- patient Gino Bennett Legros
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
0bb558a9-1710-fe6a-3e60-acdf9ecbdf83