Claim total
$155.66
base $155.66 · payer covered $108.96
The visit
- Class
- Outpatient
- Code
- 698314001
- Reason
- Contraception care389095005
- Start
- 2025-10-19
- Stop
- 2025-10-19
The parties
- Patient
- patient Crista Karina Nienow
- Provider
- provider Mario Wilkinson
- Care site
- care site ALLINA HEALTH SYSTEM
- Payer
- payer Cigna Health
Record id
0266f4cc-2c2d-37bb-d142-a7e6fe0bb1af