Claim total
$4,077.03
base $155.66 · payer covered $4,027.03
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2020-01-20
- Stop
- 2020-01-20
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Ross Stehr
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-58e7-50c7dfe6e052