Claim total
$1,028.80
base $155.66 · payer covered $1,028.80
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2019-06-24
- Stop
- 2019-06-24
The parties
- Patient
- patient Aubrey Mattie Turcotte
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer Humana
Record id
01ad68d8-96ec-fcdf-1128-0f7a3fd423ae