Claim total
$902.24
base $155.66 · payer covered $535.39
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2026-01-03
- Stop
- 2026-01-03
The parties
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Medicare
Record id
049095f1-5bc1-9ce0-0c33-6c45626c98a4