Claim total
$1,496.29
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2011-06-16
- Stop
- 2011-06-16
The parties
- Patient
- patient Bernie Wallace Collier
- Provider
- provider Phylis Lind
- Payer
- payer Cigna Health
Record id
29412692-9fd9-a01e-ca46-d54f86cbdbcf