Claim total
$4,910.86
base $93.39 · payer covered $3,928.69
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 2026-01-18
- Stop
- 2026-01-18
The parties
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
02b0534d-1cdc-7379-f13c-f9d0f414df3c