Claim total
$973.34
base $93.83 · payer covered $778.66
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2023-01-25
- Stop
- 2023-01-25
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-b90b-d2b2ac5072a4