Claim total
$6,936.80
base $93.39 · payer covered $6,901.80
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2013-12-20
- Stop
- 2013-12-20
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-7e21-b2971b7a38f0