Claim total
$704.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-06-19
- Stop
- 2019-06-19
The parties
- Patient
- patient Arron Darryl Pagac
- Provider
- provider Luisa Wilkinson
- Care site
- care site CEDAR RIVERSIDE PEOPLES CENTER
- Payer
- payer Cigna Health
Record id
311f78e4-dc47-7da4-0892-5e4765846719