Claim total
$641.13
base $93.83 · payer covered $448.79
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2019-05-20
- Stop
- 2019-05-20
The parties
- Patient
- patient Onie Shannon Borer
- Provider
- provider Nenita Glover
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Cigna Health
Record id
006af299-d813-2b4f-1f3c-76564d75d89c