Claim total
$6,344.93
base $155.66 · payer covered $5,075.95
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2024-01-06
- Stop
- 2024-01-06
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Janice Huel
- Payer
- payer Medicare
Record id
015dd051-d88b-0f3d-86cb-7f2e0efe3706