Claim total
$4,910.86
base $93.39 · payer covered $4,875.86
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 2024-07-24
- Stop
- 2024-07-24
The parties
- Patient
- patient Adrian Isaiah Durgan
- Provider
- provider Enoch Torp
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Dual Eligible
Record id
046903bc-0773-63cf-50ea-5def2a99cf59