Claim total
$11,301.75
base $93.39 · payer covered $11,266.75
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- diagnosis concept Polyp of colon68496003
- Start
- 2013-01-29
- Stop
- 2013-01-29
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Pa Kulas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-21ef-c74195b0450c