Claim total
$4,910.86
base $93.39 · payer covered $3,742.29
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 2018-09-13
- Stop
- 2018-09-13
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0277738c-b3e3-4ada-3c33-0c244240da48