Claim total
$5,726.02
base $93.39 · payer covered $5,691.02
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-05-20
- Stop
- 2016-05-20
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Pinkie Parisian
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-9275-d35ccc9e8945