Claim total
$13,687.56
base $155.66 · payer covered $0.00
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 1984-03-27
- Stop
- 1984-03-27
The parties
- Patient
- patient Aurora Desire Raynor
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer No insurance
Record id
124b3f89-9575-2f99-fd7b-c547e36684af