Claim total
$361.31
base $155.66 · payer covered $289.05
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2022-04-01
- Stop
- 2022-04-01
The parties
- Patient
- patient Ramona Schinner
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Medicare
Record id
032000cf-30b4-7e9b-29a9-72834a6d7058