Claim total
$229.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2025-01-03
- Stop
- 2025-01-03
The parties
- Patient
- patient Valentine Spencer Cole
- Provider
- provider Izola Wuckert
- Payer
- payer Cigna Health
Record id
00a9c741-f837-12c0-573d-07ffc85166ee