Claim total
$1,590.29
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-07-22
- Stop
- 2025-07-22
The parties
- Patient
- patient Leigh Weston Lubowitz
- Provider
- provider Latia Lemke
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Cigna Health
Record id
0031d341-6ceb-7483-617e-64c780b670d1