Claim total
$906.71
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2000-11-23
- Stop
- 2000-11-23
The parties
- Patient
- patient Ray Troy Osinski
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer No insurance
Record id
1fd2fa7e-032c-24bf-2b62-0a355a29b0ae