Claim total
$155.66
base $155.66 · payer covered $155.66
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2021-03-27
- Stop
- 2021-03-27
The parties
- Patient
- patient Onie Shannon Borer
- Provider
- provider Penni Kuphal
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Cigna Health
Record id
006af299-d813-2b4f-2697-215c606fea12