Claim total
$155.66
base $155.66 · payer covered $124.53
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2025-06-07
- Stop
- 2025-06-07
The parties
- Patient
- patient Pok Shane Strosin
- Provider
- provider Burton O'Conner
- Payer
- payer Medicare
Record id
00162663-d9d1-4955-a2b0-78a9d809d24e