Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-03-07
- Stop
- 2020-03-07
The parties
- Patient
- patient Marceline Louvenia Weber
- Provider
- provider Miles Kuphal
- Care site
- care site WELLNESS CENTERS, PLLC
- Payer
- payer Cigna Health
Record id
0c2cb31c-70e9-30a2-dac0-44406a1b0571