Claim total
$756.80
base $155.66 · payer covered $529.77
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2019-04-17
- Stop
- 2019-04-17
The parties
- Patient
- patient Christel Torp
- Provider
- provider Rigoberto Dibbert
Record id
00edd987-99b7-13d9-bc27-bb6fd1c5bfbe