Claim total
$10,494.11
base $93.39 · payer covered $10,459.11
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2014-12-26
- Stop
- 2014-12-26
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-ba8b-692d7966d4ee