Claim total
$566.96
base $155.66 · payer covered $267.17
The visit
- Class
- Urgent care
- Code
- 308335008
- Reason
- Transition from acute care to home-health care1871000124103
- Start
- 1996-10-08
- Stop
- 1996-10-08
The parties
- Patient
- patient Lucie Shayla Metz
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer Medicare
Record id
0095f26f-6c35-6a9c-ba70-a1000564130e