Claim total
$9,075.26
base $93.39 · payer covered $9,040.26
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 2023-12-31
- Stop
- 2023-12-31
The parties
- Patient
- patient Laveta Russel
- Provider
- provider Jone Considine
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
01e64c71-bb1e-2212-7d33-4ef4fafaff53