Claim total
$155.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2020-09-18
- Stop
- 2020-09-18
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Harold Hagenes
Record id
00cb11fd-f3f7-0950-5544-7d7623b73c7b