Claim total
$704.41
base $93.83 · payer covered $382.57
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2012-09-27
- Stop
- 2012-09-27
The parties
- Patient
- patient Blake Cruz Little
- Provider
- provider Alethia Satterfield
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicare
Record id
1200953b-9706-e442-8a3a-650f67d63bf5