Claim total
$906.71
base $93.83 · payer covered $856.71
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2003-12-21
- Stop
- 2003-12-21
The parties
- Patient
- patient Nila Tiera Feest
- Provider
- provider Alethia Satterfield
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicaid
Record id
1ca4f93a-51d4-3535-6630-736a3a64f924