Claim total
$1,112.41
base $93.83 · payer covered $1,012.41
The visit
- Class
- Wellness
- Code
- 410620009
- Reason
- —
- Start
- 2022-11-15
- Stop
- 2022-11-15
The parties
- Patient
- patient Evangeline Kasha Schaden
- Provider
- provider Alethia Satterfield
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicaid
Record id
0632026e-bab4-0d77-df07-9562c9fa9713