Claim total
$2,961.27
base $155.66 · payer covered $255.79
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2018-10-12
- Stop
- 2018-10-12
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Jo Stiedemann
Record id
00cb11fd-f3f7-0950-316b-4d1c40720182