Claim total
$2,429.26
base $155.66 · payer covered $2,379.26
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2023-07-24
- Stop
- 2023-07-24
The parties
- Patient
- patient Nana Earlean Kuphal
- Provider
- provider Marcus Douglas
- Payer
- payer Medicaid
Record id
01077a3b-80bd-4b83-e586-558d51e71438