Claim total
$777.13
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-03-07
- Stop
- 2024-03-07
The parties
- Patient
- patient Alison Ashlea Frami
- Provider
- provider Alesha Wilderman
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Cigna Health
Record id
023818a4-3852-fbab-51b6-da1319d0bd58