Claim total
$843.43
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2013-10-14
- Stop
- 2013-10-14
The parties
- Patient
- patient Wallace Satterfield
- Provider
- provider Fernande Predovic
- Care site
- care site TWIN CITIES MEDICAL CLINIC PC
Record id
10d1a759-f6f4-0e89-508f-a4e5846e2fcc