Claim total
$1,482.06
base $155.66 · payer covered $1,432.06
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2018-06-27
- Stop
- 2018-06-27
The parties
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer Medicaid
Record id
00efc86d-40fa-9fdc-a305-b887d9b54524