Claim total
$282.22
base $155.66 · payer covered $225.77
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2017-08-27
- Stop
- 2017-08-27
The parties
- Patient
- patient Kassie Freeda Mann
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Medicare
Record id
20e03f0e-0182-78e0-2d18-2b33bce7c778