Member Name: WHEELER, RICHARD
Date of birth: 8/18/1946
Date of Service: 2/5-14/2025
Billed Amount: $269,626.63
NPI: 1750780342
TAX ID: 471455535
Claim Number: ESFDLNHPR0000
Patient Account Number: 471455535
Good morning, I'm requesting the status of a reconsideration request we sent on 11/14/2025 by mail