Claim total
$846.78
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2016-07-12
- Stop
- 2016-07-12
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-c8cc-2556482d2f4e