Claim total
$630.24
base $155.66 · payer covered $504.19
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2023-10-29
- Stop
- 2023-10-29
The parties
- Patient
- patient Bryant Lindsey Kris
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Medicare
Record id
01c56dba-0d82-4ea3-2dab-f806738e5ee2