Claim total
$1,359.29
base $93.83 · payer covered $0.00
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1968-05-29
- Stop
- 1968-05-29
The parties
- Patient
- patient Lennie Dannette Jerde
- Provider
- provider Alethia Satterfield
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer No insurance
Record id
14e0014e-0650-d844-bf35-3a92d43096df