Claim total
$291.66
base $155.66 · payer covered $0.00
The visit
- Class
- Outpatient
- Code
- 33879002
- Reason
- —
- Start
- 2021-05-18
- Stop
- 2021-05-18
The parties
- Patient
- patient Leigh Weston Lubowitz
- Provider
- provider Maryam Wolf
- Care site
- care site HENNEPIN HEALTHCARE SYSTEM INC
- Payer
- payer Cigna Health
Record id
0031d341-6ceb-7483-2fc9-98c7495d4265