Claim total
$1,339.09
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2004-12-08
- Stop
- 2004-12-09
The parties
- Patient
- patient Shira Taylor O'Connell
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer UnitedHealthcare
Record id
2a8f629a-4321-59c6-8da6-e2b529e91df9