Claim total
$7,103.58
base $155.66 · payer covered $609.75
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2001-11-10
- Stop
- 2001-11-10
The parties
- Patient
- patient Brittaney Nichelle Veum
- Provider
- provider Rigoberto Dibbert
- Payer
- payer Humana
Record id
0968e8e4-3725-c436-0444-f4431a6ded9a