Claim total
$14,321.53
base $93.39 · payer covered $14,321.53
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 1995-12-01
- Stop
- 1995-12-01
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Criselda Bartell
Record id
062f00f9-5db0-55c4-60cd-ccf4cf7e0124