Claim total
$767.69
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-10-03
- Stop
- 2015-10-03
The parties
- Patient
- patient Marx Yundt
- Provider
- provider Nenita Glover
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Cigna Health
Record id
2db0bb26-6b9a-0465-cc4c-f321a3126123