Claim total
$780.15
base $93.83 · payer covered $680.15
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-03-18
- Stop
- 2024-03-18
The parties
- Patient
- patient Alphonse Barry Becker
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Medicaid
Record id
22a1d769-7746-56a3-b8f8-620de1106b5f