Claim total
$641.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2023-08-09
- Stop
- 2023-08-09
The parties
- Patient
- patient Anderson Randell Stracke
- Provider
- provider Jeanie Senger
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Cigna Health
Record id
0205f653-6551-192d-9e6b-0b2ea5f1891a