Claim total
$1,702.58
base $93.39 · payer covered $1,362.07
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2023-09-30
- Stop
- 2023-09-30
The parties
- Patient
- patient Porfirio West
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
05880a71-6004-727f-0412-2a787713d847