Claim total
$4,910.86
base $93.39 · payer covered $3,742.29
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 2018-09-19
- Stop
- 2018-09-19
The parties
- Patient
- patient Kim Edmundo Rolfson
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicare
Record id
03d7ab8f-b989-4d49-6ffc-554cd3b7a549