Claim total
$905.26
base $155.66 · payer covered $0.00
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 1990-05-07
- Stop
- 1990-05-07
The parties
- Patient
- patient Lauralee Carline Mueller
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer UnitedHealthcare
Record id
1c820c1e-9848-a5a8-0bb7-014ef227cad5