Claim total
$631.25
base $93.39 · payer covered $631.25
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- —
- Start
- 2022-04-28
- Stop
- 2022-04-28
The parties
- Patient
- patient Josh Monahan
- Provider
- provider Saundra Heller
- Care site
- care site FAIRVIEW HEALTH SERVICES
- Payer
- payer Cigna Health
Record id
03f57d95-a536-8def-fcb1-6d46970bb5d3