Claim total
$1,582.47
base $155.66 · payer covered $1,265.97
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2018-02-27
- Stop
- 2018-02-27
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-2897-ee7d55dd53b6