Claim total
$756.80
base $155.66 · payer covered $756.80
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2019-08-19
- Stop
- 2019-08-19
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-d6dd-c6c3db557556