Claim total
$962.45
base $155.66 · payer covered $962.45
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2019-11-27
- Stop
- 2019-11-27
The parties
- Patient
- patient Christel Torp
- Provider
- provider Rigoberto Dibbert
Record id
00edd987-99b7-13d9-8855-a1dbf5a50fa5