Claim total
$6,049.88
base $93.39 · payer covered $6,014.88
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-09-15
- Stop
- 2017-09-15
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Dorethea Predovic
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-92ba-e62c5204eb1f