Claim total
$97.58
base $93.39 · payer covered $78.06
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1994-04-25
- Stop
- 1994-04-25
The parties
- Patient
- patient Gale Stokes
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
01a64b50-bd68-5ef7-d9f7-0336f40def89