Claim total
$361.31
base $155.66 · payer covered $0.00
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2024-04-18
- Stop
- 2024-04-18
The parties
- Patient
- patient Rudolph Bud Batz
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer No insurance
Record id
02c734eb-6a05-b133-c59b-da1b642bac81