Claim total
$639.00
base $93.83 · payer covered $447.31
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-02-28
- Stop
- 2017-02-28
The parties
- Patient
- patient Marlena McKenzie
- Provider
- provider Brandi Kessler
- Payer
- payer Cigna Health
Record id
088a3bac-a63f-7d95-8a70-0143bba26f73