Claim total
$3,509.34
base $155.66 · payer covered $3,459.34
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 1991-02-07
- Stop
- 1991-02-07
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Pinkie Parisian
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
00eec58c-8547-4a29-5525-00b8e4d1833d