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
- 2021-09-19
- Stop
- 2021-09-19
The parties
- Patient
- patient Berry Aaron Deckow
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
03959b6c-660d-eecd-794a-8a533ba7865f