Claim total
$147.27
base $93.39 · payer covered $112.27
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2008-03-07
- Stop
- 2008-03-07
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Pa Kulas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-0c13-f4b62b40ed8c