Claim total
$1,359.89
base $155.66 · payer covered $1,309.89
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2024-10-21
- Stop
- 2024-10-21
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Marcus Douglas
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-bed8-f9b79b35093e