Claim total
$4,910.86
base $93.39 · payer covered $2,762.29
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2019-06-07
- Stop
- 2019-06-07
The parties
- Patient
- patient Denyse Fadel
- Provider
- provider Arie Bruen
- Care site
- care site FAIRVIEW SOUTHDALE HOSPITAL
- Payer
- payer Anthem
Record id
048ae427-86b6-6ce9-08e2-6fe8cd998c65