Claim total
$9,428.41
base $155.66 · payer covered $9,378.41
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2025-04-20
- Stop
- 2025-04-20
The parties
- Provider
- provider Krystal Strosin
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Medicaid
Record id
00efc86d-40fa-9fdc-020c-381bbf88fb58