Claim total
$566.96
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2018-06-30
- Stop
- 2018-06-30
The parties
- Patient
- patient Dora Violet Okuneva
- Provider
- provider Ross Stehr
- Payer
- payer Cigna Health
Record id
001727b6-dbde-2493-46b6-284ffad385f1