Claim total
$1,221.34
base $93.83 · payer covered $977.06
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-08-22
- Stop
- 2024-08-22
The parties
- Patient
- patient Tamica Sarita Robel
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Medicare
Record id
03563bad-3832-f030-4fb1-1deff2d2533e