Claim total
$96.68
base $93.39 · payer covered $61.68
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2016-04-01
- Stop
- 2016-04-01
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-ab90-f61621f74a8e