Claim total
$979.48
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2019-11-21
- Stop
- 2019-11-21
The parties
- Patient
- patient Felicitas Lilla White
- Provider
- provider Deana Welch
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Cigna Health
Record id
009a994d-1397-364c-0fd4-a0bf38c47f63