Claim total
$906.71
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-12-16
- Stop
- 2013-12-16
The parties
- Patient
- patient Carolee Keith Collins
- Provider
- provider Samuel Boyle
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Cigna Health
Record id
1b67e981-d188-cc73-4f1a-ff2a66f77aad