Claim total
$1,110.28
base $93.83 · payer covered $1,110.28
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2022-03-25
- Stop
- 2022-03-25
The parties
- Patient
- patient Wilson Teodoro Kihn
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Medicaid
Record id
04540647-5ff4-de4a-8f62-5648c32f098d