Claim total
$5,235.34
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2024-02-07
- Stop
- 2024-02-07
The parties
- Patient
- patient Carlyn Donita Ortiz
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer No insurance
Record id
00e3929f-91f8-0715-d4a0-d6c6605a8bed