Claim total
$229.83
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2026-07-03
- Stop
- 2026-07-03
The parties
- Patient
- patient Valentine Spencer Cole
- Provider
- provider Martha Ledner
- Payer
- payer Cigna Health
Record id
00a9c741-f837-12c0-435f-f5ecd2d10f45