Claim total
$678.76
base $93.39 · payer covered $678.76
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2023-10-13
- Stop
- 2023-10-13
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-96f3-438227af75d9