Claim total
$4,910.86
base $93.39 · payer covered $3,928.69
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2024-07-03
- Stop
- 2024-07-03
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Rudolf Wolff
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0453bbfc-4b53-3293-fbc0-4cff91416d58