Claim total
$28,299.12
base $93.39 · payer covered $22,639.30
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2019-11-21
- Stop
- 2019-11-21
The parties
- Patient
- patient Joan Donnie Quitzon
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Medicare
Record id
056f2732-3438-a432-2cdf-4654dbbb6b89