Claim total
$1,394.48
base $155.66 · payer covered $0.00
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2018-11-20
- Stop
- 2018-11-20
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Odis Ortiz
- Payer
- payer No insurance
Record id
0037332a-29d1-a298-20a4-1aeb86bdd9bb