Claim total
$1,568.29
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-07-25
- Stop
- 2025-07-25
The parties
- Provider
- provider Matt Shanahan
- Care site
- care site CROWN MEDICAL CENTER
- Payer
- payer Cigna Health
Record id
02e77898-0a14-d00d-a57f-1c47e9fc42a5