Claim total
$4,910.86
base $93.39 · payer covered $4,875.86
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2018-04-14
- Stop
- 2018-04-14
The parties
- Patient
- patient Efren Wilderman
- Provider
- provider Boris Lynch
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
0400ef40-232f-be7a-82b0-78af5bcea951