Claim total
$801.21
base $155.66 · payer covered $640.97
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2019-12-15
- Stop
- 2019-12-15
The parties
- Patient
- patient Isaac Vernon Marvin
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Medicare
Record id
007e08f5-37d5-91e8-fd4f-c54011a04f0a