Claim total
$973.34
base $93.83 · payer covered $592.26
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2000-10-04
- Stop
- 2000-10-04
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-7d77-b71a847a4e88