Claim total
$1,114.57
base $93.83 · payer covered $1,014.57
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2018-08-27
- Stop
- 2018-08-27
The parties
- Patient
- patient Wm Kareem D'Amore
- Provider
- provider Alethia Satterfield
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicaid
Record id
1b5b29c0-d5c9-83c0-7101-0267875ae577