Claim total
$93.39
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Start
- 2017-09-24
- Stop
- 2017-09-24
The parties
- Patient
- patient Abdul Oscar West
- Provider
- provider Dorethea Predovic
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Humana
Record id
340d1a3a-e93b-08c0-898b-278ec35d6f3d