Claim total
$13,318.00
base $127.17 · payer covered $13,283.00
The visit
- Class
- Emergency
- Code
- 50849002
- Reason
- diagnosis concept Myocardial infarction22298006
- Start
- 2014-09-28
- Stop
- 2014-09-28
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Jeromy Adams
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-627d-9822a18d21b6