Claim total
$830.97
base $93.83 · payer covered $830.97
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-01-16
- Stop
- 2026-01-16
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Julene Lemke
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-0904-e8464c197347