Claim total
$142.96
base $93.39 · payer covered $114.37
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1991-04-08
- Stop
- 1991-04-08
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-d93b-aeb0ffb1d96c