Claim total
$5,447.74
base $93.83 · payer covered $4,358.18
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2020-08-08
- Stop
- 2020-08-08
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Hank Orn
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Medicare
Record id
00decd7e-554a-447f-e879-e0647b076079