Claim total
$1,377.05
base $93.83 · payer covered $1,377.05
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2024-06-19
- Stop
- 2024-06-19
The parties
- Patient
- patient Lyndon Bradley Mann
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Medicaid
Record id
0a32e046-727b-56b0-64ce-ae217f3b15dc