Claim total
$985.80
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1982-11-13
- Stop
- 1982-11-13
The parties
- Patient
- patient Marcus Hickle
- Provider
- provider Mitzie Kuhic
- Care site
- care site WEST METRO WELLNESS PC
- Payer
- payer Humana
Record id
30e9a2c3-3140-d929-9b39-2152bb2fc6ec