Claim total
$1,477.44
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2024-01-10
- Stop
- 2024-01-10
The parties
- Patient
- patient Miles Auer
- Provider
- provider Vanessa Prosacco
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
02b37b89-9593-6a10-891d-ea8f7ec34d4e