Claim total
$830.97
base $93.83 · payer covered $480.70
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-01-02
- Stop
- 2019-01-02
The parties
- Patient
- patient Lorilee Rau
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Medicare
Record id
01b2da20-8b0d-5eee-42c4-526fac1e8bc9