Claim total
$19,363.28
base $93.39 · payer covered $8,422.18
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 1980-06-20
- Stop
- 1980-06-20
The parties
- Patient
- patient Raye Suzy Gusikowski
- Provider
- provider Jack Boehm
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Humana
Record id
02c06e54-48b8-2b73-b72c-8be30fc5ea0f