Claim total
$5,805.11
base $93.39 · payer covered $5,770.11
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-01-20
- Stop
- 2017-01-20
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Pinkie Parisian
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-803e-e283fc0f43f4