Claim total
$978.26
base $155.66 · payer covered $782.61
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2024-11-11
- Stop
- 2024-11-11
The parties
- Patient
- patient Phylis Elenora Cassin
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer Medicare
Record id
0400c40b-e8b5-c779-f282-3730a0e7937a