Claim total
$830.53
base $93.39 · payer covered $316.13
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2020-11-06
- Stop
- 2020-11-06
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Darline Franecki
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-4198-0ae0f92ebb01