Claim total
$282.22
base $155.66 · payer covered $282.22
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2020-01-01
- Stop
- 2020-01-01
The parties
- Patient
- patient Christel Torp
- Provider
- provider Rigoberto Dibbert
Record id
00edd987-99b7-13d9-e2a3-e0c6dd19373d