Claim total
$641.13
base $93.83 · payer covered $329.36
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 1978-08-09
- Stop
- 1978-08-09
The parties
- Patient
- patient Lorilee Rau
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Medicare
Record id
01b2da20-8b0d-5eee-00b9-d0e7e02be7e3