Claim total
$155.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2021-12-02
- Stop
- 2021-12-02
The parties
- Patient
- patient Nikole Ronald Crona
- Provider
- provider Irwin Skiles
- Care site
- care site MERCY HOSPITAL
- Payer
- payer No insurance
Record id
0205d624-3e5e-6b66-c941-64d56810e2f6