Claim total
$229.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2022-01-20
- Stop
- 2022-01-20
The parties
- Patient
- patient Felicitas Lilla White
- Provider
- provider Len Gottlieb
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Cigna Health
Record id
009a994d-1397-364c-3c00-beb13e3ccf3b