Claim total
$4,910.86
base $93.39 · payer covered $4,875.86
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 1991-04-16
- Stop
- 1991-04-16
The parties
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
0126321a-a5af-784d-8799-53937c3e3d2d