Claim total
$976.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2010-09-23
- Stop
- 2010-09-23
The parties
- Patient
- patient Walker Carroll
- Provider
- provider Kathern Krajcik
- Care site
- care site FAMILY LINK SOCIAL SERVICES
- Payer
- payer Cigna Health
Record id
23804a2e-4801-c5da-c85c-3d09f1a52a94