Claim total
$566.96
base $155.66 · payer covered $453.57
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2022-04-15
- Stop
- 2022-04-15
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-4a5e-87fadf4db735