Claim total
$1,355.35
base $155.66 · payer covered $0.00
The visit
- Class
- Urgent care
- Code
- 702927004
- Reason
- —
- Start
- 2026-07-17
- Stop
- 2026-07-17
The parties
- Provider
- provider Rigoberto Dibbert
- Payer
- payer Cigna Health
Record id
02e77898-0a14-d00d-7b21-37c934a2feb4