Claim total
$4,982.51
base $93.39 · payer covered $4,947.51
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-08-12
- Stop
- 2016-08-12
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-8547-4a29-115e-f423322f47be