Claim total
$155.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2023-10-06
- Stop
- 2023-10-06
The parties
- Patient
- patient Minnie Cassin
- Provider
- provider Burton O'Conner
- Payer
- payer Cigna Health
Record id
01e5652d-7e46-45b8-6bf8-ea35128887b8