Claim total
$9,350.83
base $93.39 · payer covered $9,315.83
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2016-10-14
- Stop
- 2016-10-14
The parties
- Patient
- patient Nena Josephine Stehr
- Provider
- provider Pa Kulas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Dual Eligible
Record id
00eec58c-8547-4a29-fe05-181cab28cd20