Claim total
$1,326.35
base $93.83 · payer covered $1,226.35
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2010-11-12
- Stop
- 2010-11-12
The parties
- Patient
- patient Giuseppina Trudi Howell
- Provider
- provider Alethia Satterfield
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicaid
Record id
11d2629f-60c9-2ef0-3444-1e5c6945e78e