Claim total
$100.70
base $93.39 · payer covered $80.56
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1990-04-30
- Stop
- 1990-04-30
The parties
- Patient
- patient Gale Stokes
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
01a64b50-bd68-5ef7-8ffa-a8f358395650