Claim total
$4,382.21
base $155.66 · payer covered $3,067.54
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2018-01-12
- Stop
- 2018-01-12
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Harold Hagenes
Record id
00cb11fd-f3f7-0950-725d-551da26e7777