Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-05-31
- Stop
- 2021-05-31
The parties
- Patient
- patient Onie Shannon Borer
- Provider
- provider Kenny Walker
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Cigna Health
Record id
006af299-d813-2b4f-9ac6-fef01ac3484d