Claim total
$4,910.86
base $93.39 · payer covered $3,742.29
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2018-09-09
- Stop
- 2018-09-09
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-e71f-32e1a1c92d69