Claim total
$756.80
base $155.66 · payer covered $756.80
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2019-12-25
- Stop
- 2019-12-25
The parties
- Patient
- patient Christel Torp
- Provider
- provider Rigoberto Dibbert
Record id
00edd987-99b7-13d9-3c2f-d2f5420887d3