Claim total
$631.25
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2001-09-22
- Stop
- 2001-09-22
The parties
- Patient
- patient Bradford Bennie Klein
- Provider
- provider Pa Kulas
- Care site
- care site ALTRU HEALTH SYSTEM
- Payer
- payer No insurance
Record id
01bbe7d1-151b-3eec-bfe1-165d69e0cb02