Claim total
$24,155.46
base $93.39 · payer covered $19,137.97
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2017-07-23
- Stop
- 2017-07-23
The parties
- Patient
- patient Latrisha Simonne Kuhlman
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
0277738c-b3e3-4ada-fe90-ad0b483e2201