Claim total
$15,389.55
base $93.83 · payer covered $10,772.70
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-07-01
- Stop
- 2018-07-01
The parties
- Patient
- patient Joetta Antonette Bednar
- Provider
- provider Luisa Wilkinson
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Cigna Health
Record id
2cb8de01-f198-8fe9-6d27-b95453ff5796