Claim total
$94.23
base $93.39 · payer covered $75.38
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2025-10-11
- Stop
- 2025-10-11
The parties
- Patient
- patient Porfirio West
- Provider
- provider Pinkie Parisian
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
05880a71-6004-727f-54d2-a5c285158dad