Claim total
$829.52
base $155.66 · payer covered $0.00
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2019-05-16
- Stop
- 2019-05-16
The parties
- Patient
- patient Britany Kerrie West
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer No insurance
Record id
02a95708-afbd-de6b-6e6a-b7f2dcf27057