Claim total
$963.13
base $93.39 · payer covered $963.13
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2025-01-17
- Stop
- 2025-01-17
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-a193-c77d840b483a