Claim total
$3,310.02
base $155.66 · payer covered $2,451.45
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2020-11-14
- Stop
- 2020-11-14
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Ross Stehr
- Payer
- payer Anthem
Record id
001727b6-dbde-2493-ebbe-95c6c38594ee