Claim total
$1,527.01
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-05-25
- Stop
- 2026-05-25
The parties
- Patient
- patient Adam Jones
- Provider
- provider Sage Schiller
- Care site
- care site SAMA HEALTH CARE
- Payer
- payer Cigna Health
Record id
00229130-e769-8779-dd15-0cd0f66a95c9