Claim total
$1,248.13
base $155.66 · payer covered $812.10
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2021-07-06
- Stop
- 2021-07-06
The parties
- Patient
- patient Harlan Luigi Bosco
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Medicare
Record id
00d351d5-8ef1-f44d-64c1-f88928a524c3