Claim total
$4,275.75
base $93.83 · payer covered $4,275.75
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1989-06-13
- Stop
- 1989-06-13
The parties
- Patient
- patient Aurora Desire Raynor
- Provider
- provider Alethia Satterfield
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicare
Record id
124b3f89-9575-2f99-3dd5-13585e1fdc0b