Claim total
$910.06
base $93.83 · payer covered $810.06
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2006-05-25
- Stop
- 2006-05-25
The parties
- Patient
- patient Gala Marcelene Hirthe
- Provider
- provider Alethia Satterfield
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicaid
Record id
220f299b-95df-592e-f5b7-33aa095b7671