Claim total
$6,036.96
base $93.39 · payer covered $6,001.96
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-12-30
- Stop
- 2016-12-30
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Dorethea Predovic
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-906b-19f525600320