Claim total
$843.20
base $155.66 · payer covered $674.56
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2022-05-16
- Stop
- 2022-05-16
The parties
- Patient
- patient Linh Sindy Heaney
- Provider
- provider Rigoberto Dibbert
- Payer
- payer Medicare
Record id
013d575b-4a77-458a-b395-43c411ce681e