Claim total
$972.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2007-08-08
- Stop
- 2007-08-08
The parties
- Patient
- patient Arminda Casandra Willms
- Provider
- provider Phylis Lind
- Payer
- payer Cigna Health
Record id
0df65c82-ce35-829a-ee55-e84d44c40615