Claim total
$155.66
base $155.66 · payer covered $155.66
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2015-10-15
- Stop
- 2015-10-15
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Irmgard Padberg
Record id
00cb11fd-f3f7-0950-f1d2-ef0335680dae