Claim total
$934.12
base $155.66 · payer covered $747.30
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2021-12-10
- Stop
- 2021-12-10
The parties
- Patient
- patient Marna Francis Kuhlman
- Provider
- provider Rigoberto Dibbert
- Payer
- payer Medicare
Record id
1b79641c-a011-48b3-6654-81c2989a12d1