Claim total
$641.13
base $93.83 · payer covered $326.50
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-10-28
- Stop
- 2020-10-28
The parties
- Patient
- patient Cecilia Botsford
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Medicare
Record id
046c8377-6cc1-c8f9-6d0d-fc06bebb1149