Claim total
$13,801.25
base $93.39 · payer covered $13,766.25
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 1987-07-15
- Stop
- 1987-07-15
The parties
- Patient
- patient Leroy Jimmy Wintheiser
- Provider
- provider Kelvin Reichel
- Payer
- payer Dual Eligible
Record id
04371635-b149-02a5-1ae7-8ed28d65e45a