Claim total
$1,215.93
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2006-06-02
- Stop
- 2006-06-02
The parties
- Patient
- patient Larita Candi Bashirian
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Cigna Health
Record id
1a69b1c3-11f2-231e-8dbc-9a74ca9fee94