Claim total
$1,529.93
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-04-11
- Stop
- 2015-04-11
The parties
- Patient
- patient Maria Shanahan
- Provider
- provider Nikia Mills
- Payer
- payer Cigna Health
Record id
27fd605a-3ae1-89e7-4996-4e2cbefa2558