Claim total
$112.83
base $93.39 · payer covered $77.83
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2013-11-08
- Stop
- 2013-11-08
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider María Soledad Archuleta
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-a624-e4205c9708df