Claim total
$840.41
base $93.83 · payer covered $840.41
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-08-11
- Stop
- 2022-08-11
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
Record id
03563bad-3832-f030-3add-c81d17c79939