Claim total
$836.83
base $155.66 · payer covered $686.83
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2001-01-09
- Stop
- 2001-01-09
The parties
- Patient
- patient Sylvie Viviana Feest
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer Medicaid
Record id
3206c5ca-dc89-df44-f7e9-c357db994deb