Claim total
$820.08
base $155.66 · payer covered $656.05
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2024-05-01
- Stop
- 2024-05-01
The parties
- Patient
- patient Angle Rosalina Okuneva
- Provider
- provider Odis Ortiz
- Payer
- payer Anthem
Record id
0190d3b1-c50c-bf7b-f5e3-7912c1393a13