Claim total
$3,883.80
base $155.66 · payer covered $359.70
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2017-03-04
- Stop
- 2017-03-04
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Ross Stehr
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-6b6a-53c3d760dffb