Claim total
$5,776.97
base $93.39 · payer covered $4,435.18
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2017-07-06
- Stop
- 2017-07-06
The parties
- Patient
- patient Alyson Janie Marquardt
- Provider
- provider Jacquelyne Skiles
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
00faac37-85e6-9663-24dc-0a4a6c28200d