Claim total
$637.55
base $155.66 · payer covered $510.04
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 1985-09-09
- Stop
- 1985-09-09
The parties
- Patient
- patient Gale Stokes
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer Medicare
Record id
01a64b50-bd68-5ef7-ffb3-81a326acf59f