Claim total
$566.96
base $155.66 · payer covered $531.96
The visit
- Class
- Urgent care
- Code
- 308335008
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 2024-09-12
- Stop
- 2024-09-12
The parties
- Patient
- patient Lamar Mark Connelly
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer Dual Eligible
Record id
050746ba-be7e-c592-1ecb-ebced5ad2242