Claim total
$93.39
base $93.39 · payer covered $43.39
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2006-12-23
- Stop
- 2006-12-23
The parties
- Patient
- patient Bradford Bennie Klein
- Provider
- provider Pa Kulas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer Medicaid
Record id
01bbe7d1-151b-3eec-9368-5b5f8e25c203