Claim total
$155.66
base $155.66 · payer covered $105.66
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2025-02-17
- Stop
- 2025-02-17
The parties
- Patient
- patient Alyssa Star Feil
- Provider
- provider Julee Jones
- Payer
- payer Medicaid
Record id
02cca109-7737-4ad8-c571-83e78290605d