Claim total
$899.40
base $93.83 · payer covered $849.40
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2002-11-25
- Stop
- 2002-11-25
The parties
- Patient
- patient Li McGlynn
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Medicaid
Record id
104fb90d-764d-ce50-304c-cc5ff59f959e