Claim total
$3,458.04
base $155.66 · payer covered $119.23
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2021-10-08
- Stop
- 2021-10-08
The parties
- Patient
- patient Edythe Nga Pacocha
- Provider
- provider Harold Hagenes
Record id
00cb11fd-f3f7-0950-786b-d864b0a7daba