Claim total
$113.79
base $93.39 · payer covered $91.03
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-09-22
- Stop
- 2023-09-22
The parties
- Patient
- patient Malcolm Graig Hackett
- Provider
- provider Luis Miguel Barajas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
02579c91-f636-e7d1-1199-50535fbd64d8