Claim total
$15,339.76
base $93.39 · payer covered $15,304.76
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2017-06-02
- Stop
- 2017-06-02
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-f7a1-1e521ea67ca7