Claim total
$1,676.17
base $155.66 · payer covered $69.80
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2019-10-11
- Stop
- 2019-10-11
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Jo Stiedemann
Record id
00cb11fd-f3f7-0950-1c24-26b3c7360457