Claim total
$1,272.64
base $93.39 · payer covered $1,272.64
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2022-12-03
- Stop
- 2022-12-03
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-2068-b34812277fdd