Claim total
$3,906.67
base $93.39 · payer covered $3,125.33
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-11-02
- Stop
- 2024-11-02
The parties
- Patient
- patient Porfirio West
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
05880a71-6004-727f-3b42-728c895ef113