Claim total
$1,658.72
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2019-04-13
- Stop
- 2019-04-13
The parties
- Patient
- patient Freddy Stewart Gorczany
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer No insurance
Record id
22e9c711-e56d-c784-30a3-f4076963163b