Claim total
$1,329.49
base $155.66 · payer covered $930.64
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2021-04-09
- Stop
- 2021-04-09
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Trinity Mraz
Record id
00cb11fd-f3f7-0950-3a6e-609972237bd0