Claim total
$117.04
base $93.39 · payer covered $82.04
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2011-10-21
- Stop
- 2011-10-21
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-864b-893b6e003880