Claim total
$13,953.35
base $93.39 · payer covered $10,976.28
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2023-09-09
- Stop
- 2023-09-09
The parties
- Patient
- patient Simon Frederic Gulgowski
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
034c4f48-8c73-4f35-bb69-cc8b33afeed8