Claim total
$1,207.12
base $93.39 · payer covered $844.99
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2018-01-26
- Stop
- 2018-01-26
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-faeb-3f816189dc9e