Claim total
$1,118.87
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2009-01-11
- Stop
- 2009-01-11
The parties
- Patient
- patient Lester O'Reilly
- Provider
- provider Luisa Wilkinson
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Cigna Health
Record id
11ed8eb9-a93b-fa56-ef03-d8ea22ecd98c