Claim total
$157.11
base $93.83 · payer covered $157.11
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- Sudden cardiac death95281009
- Start
- 1990-03-16
- Stop
- 1990-03-16
The parties
- Patient
- patient Raye Suzy Gusikowski
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Humana
Record id
02c06e54-48b8-2b73-8f81-fa222e166a41