Claim total
$840.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-07-19
- Stop
- 2022-07-19
The parties
- Patient
- patient Leigh Weston Lubowitz
- Provider
- provider Latia Lemke
- Care site
- care site NEIGHBORHOOD HEALTHSOURCE
- Payer
- payer Cigna Health
Record id
0031d341-6ceb-7483-4162-afe13ea8216b