Claim total
$4,910.86
base $93.39 · payer covered $2,762.29
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2026-01-12
- Stop
- 2026-01-12
The parties
- Patient
- patient Chia Jalisa Champlin
- Provider
- provider Sharla Ziemann
- Payer
- payer Anthem
Record id
03f9d33d-12ca-f1a8-685a-fc56761a0f38