Claim total
$976.41
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-06-27
- Stop
- 2015-06-27
The parties
- Patient
- patient Leslee Christiansen
- Provider
- provider Luanna Bogan
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Cigna Health
Record id
01280686-ae2e-42f0-1944-a885c1eb4d86