Claim total
$1,097.66
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2026-01-25
- Stop
- 2026-01-25
The parties
- Patient
- patient Crista Karina Nienow
- Provider
- provider Kanesha Bruen
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Cigna Health
Record id
0266f4cc-2c2d-37bb-be8d-d3b29cb3c7b2