Claim total
$1,753.07
base $155.66 · payer covered $1,753.07
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2019-05-11
- Stop
- 2019-05-11
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Marcus Douglas
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-434e-8bcb9089a7e1