Claim total
$978.49
base $93.83 · payer covered $828.49
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1991-05-04
- Stop
- 1991-05-04
The parties
- Patient
- patient Katina Geralyn Hegmann
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Medicaid
Record id
07f411c5-ad88-c569-1147-66eb2661bf66