Claim total
$894.25
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-11-20
- Stop
- 2015-11-20
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Julene Lemke
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-ee20-0cbf934d9c39