Claim total
$3,140.40
base $155.66 · payer covered $2,087.90
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2021-08-14
- Stop
- 2021-08-14
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Marcus Douglas
- Payer
- payer Anthem
Record id
001727b6-dbde-2493-460c-4ad0c1c217e4