Claim total
$1,303.29
base $155.66 · payer covered $1,042.63
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2020-09-21
- Stop
- 2020-09-21
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Medicare
Record id
0453bbfc-4b53-3293-b06c-76402f9b108e