Claim total
$1,240.82
base $155.66 · payer covered $992.65
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2025-05-13
- Stop
- 2025-05-13
The parties
- Patient
- patient Mickey Adalberto Yost
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer Medicare
Record id
0644c3ae-21ed-d13a-11ce-613b80edf402