Claim total
$846.34
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2010-11-05
- Stop
- 2010-11-05
The parties
- Patient
- patient Carla María Luisa León
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
1d508144-53cb-4866-41b3-07bbf165d003