Claim total
$4,331.07
base $155.66 · payer covered $3,464.86
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2022-02-12
- Stop
- 2022-02-12
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Floyd Toy
- Payer
- payer Anthem
Record id
001727b6-dbde-2493-b1af-168bd4e153e5