Claim total
$9,648.73
base $93.39 · payer covered $9,613.73
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2024-08-20
- Stop
- 2024-08-20
The parties
- Patient
- patient Jacqui Bess Baumbach
- Provider
- provider Simon Bode
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Dual Eligible
Record id
019cda32-2557-7f65-00ab-3abc64e24a4d