Patient Information
DW
David Wilson
DOB: Feb 18, 1965 · Male
(555) 567-8901
d.wilson@email.com
Fort Lauderdale, FL 33301
Insurance
Cigna
Member ID: CIG-554433
Group: GRP-7700
Effective: Jan 1, 2025
Primary
Medical Codes
28002Incision and drainage, foot
Qty: 1
$1,600.00
Verified
Activity Timeline
Encounter recorded
Feb 3, 2026 · System
Billing Summary
Procedure Charge$1,600.00
Insurance PaysPending adjudication
Patient ResponsibilityPending adjudication
3 days pending
Risk Assessment
22
LOW RISK
Straightforward procedure
Cigna good approval rate
Predicted Payment$1,120.00
Expected DateMar 20, 2026
Confidence Interval$1,000.00 – $1,280.00