Claim total
$694.53
base $93.39 · payer covered $486.18
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-02-23
- Stop
- 2018-02-23
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-005d-cfd60ab22ae1