Claim total
$9,672.54
base $155.66 · payer covered $6,571.63
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2025-07-08
- Stop
- 2025-07-08
The parties
- Patient
- patient Thaddeus Erwin Dare
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer UnitedHealthcare
Record id
0ba5681c-e6fe-3184-bcaa-869166077099