Claim total
$3,509.34
base $155.66 · payer covered $3,474.34
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 2009-01-16
- Stop
- 2009-01-16
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-7bc8-fd161acc31f5