Claim total
$5,543.36
base $93.39 · payer covered $5,508.36
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-12-15
- Stop
- 2017-12-15
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-5767-3436dfb4f980