Claim total
$1,036.62
base $93.83 · payer covered $1,036.62
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-01-05
- Stop
- 2024-01-05
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Anneliese Bradtke
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-458b-63a362c586ab