Claim total
$566.96
base $155.66 · payer covered $453.57
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2026-04-18
- Stop
- 2026-04-18
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Floyd Toy
- Payer
- payer Anthem
Record id
001727b6-dbde-2493-23b7-ac5d494ae3ee