Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-10-12
- Stop
- 2024-10-12
The parties
- Patient
- patient Hector Royal Schinner
- Provider
- provider Marilyn Gleichner
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Cigna Health
Record id
227c0989-b799-e589-3ca6-f69e15f869a1