Claim total
$7,539.97
base $155.66 · payer covered $0.00
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 1988-11-21
- Stop
- 1988-11-21
The parties
- Patient
- patient Ezequiel Eldridge Kunde
- Provider
- provider Thao Terry
- Care site
- care site URGENT AMERIKAN CLINIC
- Payer
- payer No insurance
Record id
13200325-9998-abe8-77cd-5d84ab225c67