Claim total
$963.46
base $93.39 · payer covered $928.46
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2011-09-09
- Stop
- 2011-09-09
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Chasidy Harris
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-3f1d-eee4a9004726