Claim total
$1,098.16
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2021-07-10
- Stop
- 2021-07-10
The parties
- Patient
- patient Leslee Christiansen
- Provider
- provider Marilyn Gleichner
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Aetna
Record id
01280686-ae2e-42f0-edf4-22928297aab0