Claim total
$111.05
base $93.39 · payer covered $76.05
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2016-10-28
- Stop
- 2016-10-28
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-f35c-329641f83a62