Claim total
$909.62
base $93.39 · payer covered $859.62
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2006-11-25
- Stop
- 2006-11-25
The parties
- Patient
- patient Bradford Bennie Klein
- Provider
- provider Martina Heidenreich
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
01bbe7d1-151b-3eec-26be-2255731554a9