Claim total
$229.39
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2026-02-19
- Stop
- 2026-02-19
The parties
- Patient
- patient Felicitas Lilla White
- Provider
- provider Charlena Adams
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
009a994d-1397-364c-e6dc-b3885eef37a9