Claim total
$4,910.86
base $93.39 · payer covered $3,928.69
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2024-08-23
- Stop
- 2024-08-23
The parties
- Provider
- provider Willie Simonis
- Care site
- care site FAIRVIEW RIDGES HOSPITAL
- Payer
- payer Medicare
Record id
018a1080-c6e3-9b93-8385-b2c40ef9ff84