Claim total
$1,161.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2022-01-02
- Stop
- 2022-01-02
The parties
- Patient
- patient Crista Karina Nienow
- Provider
- provider Niki O'Kon
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Aetna
Record id
0266f4cc-2c2d-37bb-38aa-8c3dc14bdbd3