Claim total
$972.12
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2014-06-14
- Stop
- 2014-06-14
The parties
- Patient
- patient Aletha Quinn Littel
- Provider
- provider Marilyn Gleichner
- Care site
- care site HENNEPIN COUNTY
- Payer
- payer Cigna Health
Record id
381f3736-3813-7483-4bf9-e5df0111d52f