Claim total
$842.99
base $93.39 · payer covered $792.99
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1982-09-24
- Stop
- 1982-09-24
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Pinkie Parisian
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
00eec58c-8547-4a29-1a38-a94f6e78ee67