Claim total
$924.68
base $93.83 · payer covered $647.29
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-07-06
- Stop
- 2019-07-06
The parties
- Patient
- patient Leslee Christiansen
- Provider
- provider Waneta Boyer
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Cigna Health
Record id
01280686-ae2e-42f0-8585-a9064a08f8df