Claim total
$13,763.20
base $93.39 · payer covered $11,010.56
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2022-07-25
- Stop
- 2022-07-25
The parties
- Patient
- patient Alyson Janie Marquardt
- Provider
- provider Rudolf Wolff
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
00faac37-85e6-9663-915c-8022314f6ff7