Claim total
$425.60
base $93.39 · payer covered $390.60
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2011-12-09
- Stop
- 2011-12-09
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Lynn Cummings
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-7a37-d6a60279bd2c