Claim total
$15,109.36
base $93.39 · payer covered $15,074.36
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2015-08-21
- Stop
- 2015-08-21
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-8547-4a29-7e05-77c6904983f5