Claim total
$157.11
base $93.83 · payer covered $157.11
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept Pulmonary emphysema87433001
- Start
- 2018-02-02
- Stop
- 2018-02-02
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Fredrick Strosin
- Care site
- care site OPTAGE PRIMARY CARE LLC
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-8d47-59fcfa047a05