Claim total
$640.69
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1953-11-16
- Stop
- 1953-11-16
The parties
- Patient
- patient Gale Stokes
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer No insurance
Record id
01a64b50-bd68-5ef7-eeac-08c94e21381a