Claim total
$1,748.88
base $155.66 · payer covered $1,224.21
The visit
- Class
- Outpatient
- Code
- 308335008
- Reason
- Contraception care389095005
- Start
- 2025-08-17
- Stop
- 2025-08-17
The parties
- Patient
- patient Crista Karina Nienow
- Provider
- provider Theo Rutherford
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
0266f4cc-2c2d-37bb-6c96-745e54729558