Claim total
$15,198.33
base $93.83 · payer covered $15,198.33
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-08-20
- Stop
- 2022-08-20
The parties
- Patient
- patient Sharie Nikia Hegmann
- Provider
- provider Hank Orn
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Dual Eligible
Record id
00decd7e-554a-447f-f48f-cd6a7f5cfe72