Claim total
$4,910.86
base $93.39 · payer covered $1,269.06
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2023-11-26
- Stop
- 2023-11-26
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-475c-4c4843d7aa0f