Claim total
$1,297.73
base $155.66 · payer covered $1,038.17
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2022-05-24
- Stop
- 2022-05-25
The parties
- Patient
- patient Caitlyn Elli Kuhlman
- Provider
- provider Odis Ortiz
- Payer
- payer Medicare
Record id
0037332a-29d1-a298-6292-e824a652a039