Claim total
$910.06
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-02-07
- Stop
- 2019-02-07
The parties
- Patient
- patient Alison Ashlea Frami
- Provider
- provider Alesha Wilderman
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Anthem
Record id
023818a4-3852-fbab-dd7a-a5b1d1f96eaf