Claim total
$775.00
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-10-23
- Stop
- 2024-10-23
The parties
- Patient
- patient Sha Robin Reilly
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer No insurance
Record id
043d6e13-0cc7-07f3-9961-683575dc5082