Claim total
$1,312.68
base $93.83 · payer covered $865.57
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2017-12-27
- Stop
- 2017-12-27
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-f33b-a1a3336fb6c6