Claim total
$900.18
base $93.39 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2021-06-04
- Stop
- 2021-06-04
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Forrest Hirthe
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-e435-74eb41506ed0