Claim total
$905.26
base $155.66 · payer covered $543.78
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2008-12-21
- Stop
- 2008-12-21
The parties
- Patient
- patient Giovanni Riley Hilll
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Medicare
Record id
1e5a5554-7082-bc61-a5aa-144315aec581