Claim total
$4,910.86
base $93.39 · payer covered $3,437.60
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 2023-06-10
- Stop
- 2023-06-10
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-06f7-dba05ac2a9ca