Claim total
$11,112.94
base $93.39 · payer covered $4,629.06
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2017-05-05
- Stop
- 2017-05-05
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-e790-74eb9309db80