Claim total
$11,532.27
base $155.66 · payer covered $11,497.27
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2025-01-27
- Stop
- 2025-01-27
The parties
- Patient
- patient Rosaria Golden Bashirian
- Provider
- provider Janice Huel
- Payer
- payer Dual Eligible
Record id
015dd051-d88b-0f3d-4c10-4d7d199ffcb5