Claim total
$15,057.53
base $93.39 · payer covered $5,378.12
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2023-10-15
- Stop
- 2023-10-15
The parties
- Patient
- patient Jared Lenard Hansen
- Provider
- provider Lauren Schroeder
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Aetna
Record id
047ee4ec-c50b-b504-719c-765970511cd8