Claim total
$1,319.91
base $155.66 · payer covered $1,269.91
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2025-03-26
- Stop
- 2025-03-26
The parties
- Patient
- patient Kurt Nathanael Skiles
- Provider
- provider Clarita Johnston
- Care site
- care site GARGAR URGENT CARE AND CLINIC
- Payer
- payer Medicaid
Record id
34284b09-ad51-f51d-9cbc-2d5f90113cb7