Claim total
$306.73
base $93.39 · payer covered $245.38
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2016-08-20
- Stop
- 2016-08-20
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-aedb-d5324a23e57a