Claim total
$3,098.04
base $155.66 · payer covered $3,063.04
The visit
- Class
- Ambulatory
- Code
- 36228007
- Reason
- —
- Start
- 2014-05-09
- Stop
- 2014-05-09
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-f66a-9648504bf332