Claim total
$838.96
base $155.66 · payer covered $671.17
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2021-03-10
- Stop
- 2021-03-10
The parties
- Patient
- patient Adan Chas Howell
- Provider
- provider Odis Ortiz
- Payer
- payer Medicare
Record id
16136637-5d32-ce95-1e64-208a9b659871