Claim total
$7,401.05
base $93.83 · payer covered $7,401.05
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-08-03
- Stop
- 2019-08-03
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Hank Orn
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Dual Eligible
Record id
00decd7e-554a-447f-8a9b-eaf0212830f7