Claim total
$6,339.38
base $93.39 · payer covered $959.00
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2021-05-03
- Stop
- 2021-05-04
The parties
- Patient
- patient Blake Rudolph Von
- Provider
- provider Simon Bode
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Aetna
Record id
01986319-54e6-598a-e810-498dac461bc4