Claim total
$830.97
base $93.83 · payer covered $830.97
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-12-30
- Stop
- 2022-12-30
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Jared Berge
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-f1c5-202491fef551