Claim total
$2,686.74
base $155.66 · payer covered $2,651.74
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 2012-09-10
- Stop
- 2012-09-10
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-8547-4a29-71df-4830db99830d