Claim total
$1,935.01
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-04-26
- Stop
- 2025-04-26
The parties
- Patient
- patient Zachery Vincenzo Berge
- Provider
- provider Ursula Nolan
- Payer
- payer Cigna Health
Record id
01ce818c-8f9f-924a-97de-0073fdb58953