Claim total
$282.22
base $155.66 · payer covered $282.22
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 1995-10-06
- Stop
- 1995-10-06
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
Record id
062f00f9-5db0-55c4-feb4-a568f452520c