Claim total
$13,522.50
base $93.39 · payer covered $10,631.60
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 2024-09-03
- Stop
- 2024-09-03
The parties
- Provider
- provider Leonora Bechtelar
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-e030-8a43bf54cb8a