Claim total
$487.87
base $155.66 · payer covered $390.29
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2019-07-10
- Stop
- 2019-07-10
The parties
- Patient
- patient Gene Erin Wehner
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Medicare
Record id
0324eea5-bb16-c29a-ac8f-4c3f0312cce6