Claim total
$693.52
base $155.66 · payer covered $0.00
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2002-10-19
- Stop
- 2002-10-19
The parties
- Patient
- patient Bradford Bennie Klein
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer No insurance
Record id
01bbe7d1-151b-3eec-5fa5-07d7ccb91a34