Claim total
$93.39
base $93.39 · payer covered $74.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- Fish735971005
- Start
- 2019-01-28
- Stop
- 2019-01-28
The parties
- Patient
- patient Malcolm Graig Hackett
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
02579c91-f636-e7d1-2070-b9105a165da4