Claim total
$910.06
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-07-16
- Stop
- 2019-07-16
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-c0a1-04b461cb1c32