Claim total
$1,212.29
base $155.66 · payer covered $1,162.29
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2020-07-27
- Stop
- 2020-07-27
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Ross Stehr
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-ade0-7be6654711f2