Claim total
$291.66
base $155.66 · payer covered $233.33
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-04-17
- Stop
- 2021-04-17
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-e375-48b60e31f3cc