Claim total
$8,027.19
base $155.66 · payer covered $7,977.19
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2024-10-31
- Stop
- 2024-10-31
The parties
- Patient
- patient Johnny Mattie Skiles
- Provider
- provider Irmgard Padberg
- Payer
- payer Medicaid
Record id
01f72a06-0d81-377c-277a-3beb16be0934