Claim total
$1,048.47
base $155.66 · payer covered $838.76
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2008-04-07
- Stop
- 2008-04-07
The parties
- Patient
- patient Jeanmarie Jann Bogisich
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Medicare
Record id
17e1c4cb-44e4-7484-45fa-2c449078f477