Claim total
$741.09
base $155.66 · payer covered $592.87
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2022-04-08
- Stop
- 2022-04-08
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Medicare
Record id
032000cf-30b4-7e9b-b9a2-21aaea55b29d