Claim total
$2,692.68
base $155.66 · payer covered $1,393.33
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2020-10-09
- Stop
- 2020-10-09
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Burton O'Conner
Record id
00cb11fd-f3f7-0950-d5a3-cf9f3d3077f2