Claim total
$4,910.86
base $93.39 · payer covered $1,614.68
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 2025-03-18
- Stop
- 2025-03-18
The parties
- Patient
- patient Jared Lenard Hansen
- Provider
- provider Horacio Casas
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Aetna
Record id
047ee4ec-c50b-b504-cf79-982afdf529ee