Claim total
$1,112.89
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-05-12
- Stop
- 2021-05-12
The parties
- Patient
- patient Anderson Randell Stracke
- Provider
- provider Hiram Nitzsche
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Cigna Health
Record id
0205f653-6551-192d-56a8-17e343b424ac