Claim total
$1,112.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2025-04-12
- Stop
- 2025-04-12
The parties
- Patient
- patient Reiko Celesta Hoeger
- Provider
- provider Rodrick Willms
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Cigna Health
Record id
18c642dd-4465-e32c-da9c-f59363734ad4