Claim total
$780.15
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1974-05-20
- Stop
- 1974-05-20
The parties
- Patient
- patient Emelda Buckridge
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer No insurance
Record id
0d3f842e-991a-78cb-140d-c2f1edfa970a