Claim total
$6,656.50
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2025-01-15
- Stop
- 2025-01-15
The parties
- Patient
- patient Sha Robin Reilly
- Provider
- provider Irmgard Padberg
- Payer
- payer No insurance
Record id
043d6e13-0cc7-07f3-164a-99e1d57de948