Claim total
$957.53
base $93.83 · payer covered $957.53
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-01-10
- Stop
- 2025-01-10
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Anneliese Bradtke
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-f9ac-7935828dd56c