Claim total
$979.26
base $155.66 · payer covered $783.40
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2008-02-07
- Stop
- 2008-02-07
The parties
- Provider
- provider Odis Ortiz
- Payer
- payer Medicare
Record id
1c8e89cf-3ff8-c4b0-3d3a-15311af70002