Claim total
$354.94
base $155.66 · payer covered $283.95
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2025-04-16
- Stop
- 2025-04-16
The parties
- Patient
- patient Georgianna Swift
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer UnitedHealthcare
Record id
01573994-0592-a477-0f43-4b82fe8cef50