Claim total
$1,174.19
base $155.66 · payer covered $0.00
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 1986-10-02
- Stop
- 1986-10-02
The parties
- Patient
- patient Lon Jenkins
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer No insurance
Record id
21be898a-3bf9-dfe6-36db-fbd8e4ad5670