Claim total
$278.41
base $93.39 · payer covered $222.73
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2020-09-12
- Stop
- 2020-09-12
The parties
- Patient
- patient Porfirio West
- Provider
- provider Dorethea Predovic
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicare
Record id
05880a71-6004-727f-2f52-8891153ebea2