Claim total
$229.39
base $93.39 · payer covered $160.57
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-03-12
- Stop
- 2021-03-12
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-276e-170842fb47f5