Claim total
$1,168.10
base $155.66 · payer covered $934.47
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 1993-04-05
- Stop
- 1993-04-05
The parties
- Patient
- patient Denny Rodrigo Cole
- Provider
- provider Odis Ortiz
- Payer
- payer Medicare
Record id
01d0b380-425a-3ac7-dc57-e08da47334be