Claim total
$7,696.46
base $155.66 · payer covered $1,611.14
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 1997-08-27
- Stop
- 1997-08-27
The parties
- Patient
- patient Erin Eugene Feeney
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer Humana
Record id
2062844a-692f-af63-6ddc-122e68038a46