Claim total
$840.41
base $93.83 · payer covered $588.29
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2020-05-25
- Stop
- 2020-05-25
The parties
- Patient
- patient Onie Shannon Borer
- Provider
- provider Nenita Glover
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Cigna Health
Record id
006af299-d813-2b4f-745d-cd356ec5eb79