Claim total
$1,008.50
base $93.39 · payer covered $973.50
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2010-11-12
- Stop
- 2010-11-12
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Noe Hills
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-5793-e8a6b400b668