Claim total
$3,410.70
base $155.66 · payer covered $2,387.49
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2017-10-04
- Stop
- 2017-10-04
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Jo Stiedemann
Record id
00cb11fd-f3f7-0950-9dfb-ba97be5b2d86