Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-07-01
- Stop
- 2017-07-01
The parties
- Patient
- patient Leslee Christiansen
- Provider
- provider Asha Ferry
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Cigna Health
Record id
01280686-ae2e-42f0-f657-774a2e99b2c2