Claim total
$162.97
base $155.66 · payer covered $130.38
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 1985-09-02
- Stop
- 1985-09-02
The parties
- Patient
- patient Gale Stokes
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer Medicare
Record id
01a64b50-bd68-5ef7-1f69-34fdcde4eb6e