Claim total
$1,434.17
base $155.66 · payer covered $0.00
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2008-12-29
- Stop
- 2008-12-29
The parties
- Patient
- patient Chung Spinka
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer No insurance
Record id
0453bbfc-4b53-3293-a728-7cf39a94e3f1