Claim total
$96.09
base $93.39 · payer covered $76.87
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2024-11-16
- Stop
- 2024-11-16
The parties
- Patient
- patient Porfirio West
- Provider
- provider Lynn Cummings
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
05880a71-6004-727f-a587-d6114fb9236c