Claim total
$1,522.49
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-09-04
- Stop
- 2020-09-04
The parties
- Provider
- provider Norris Kertzmann
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Cigna Health
Record id
123ef959-e087-2800-b139-aadb805210d1