Claim total
$13,231.21
base $93.83 · payer covered $13,231.21
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-08-31
- Stop
- 2024-08-31
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-e907-c822f717769d