Claim total
$23,039.62
base $93.39 · payer covered $23,004.62
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- Screening for malignant neoplasm of colon275978004
- Start
- 2011-12-16
- Stop
- 2011-12-16
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-ae0d-ae1902715e03