Claim total
$351.01
base $93.83 · payer covered $245.71
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2021-08-11
- Stop
- 2021-08-11
The parties
- Patient
- patient Anderson Randell Stracke
- Provider
- provider Hiram Nitzsche
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Cigna Health
Record id
0205f653-6551-192d-ec05-41f578cf12e0