Claim total
$13,459.42
base $93.39 · payer covered $13,309.42
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2020-01-21
- Stop
- 2020-01-21
The parties
- Patient
- patient Ángela Carlota Lovato
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
0465c17f-66cb-2155-0445-11ce09a7f87e