Claim total
$773.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2023-10-06
- Stop
- 2023-10-06
The parties
- Patient
- patient Valentine Spencer Cole
- Provider
- provider Sylvester Bartoletti
- Payer
- payer Cigna Health
Record id
00a9c741-f837-12c0-bc98-9c51e2b109ef