Claim total
$500.33
base $155.66 · payer covered $500.33
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2019-11-20
- Stop
- 2019-11-20
The parties
- Patient
- patient Christel Torp
- Provider
- provider Rigoberto Dibbert
Record id
00edd987-99b7-13d9-04f7-d9dc593245b9