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
- 1991-07-30
- Stop
- 1991-07-30
The parties
- Patient
- patient Susanna Avis Emard
- Provider
- provider Rolando Mitchell
- Payer
- payer Dual Eligible
Record id
0443166c-c803-503e-21ee-f6ebb18cfc7d