Claim total
$19,072.25
base $93.39 · payer covered $15,071.40
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2019-08-24
- Stop
- 2019-08-24
The parties
- Provider
- provider Candelaria Hintz
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-4578-e8ea053c4c7b