Claim total
$1,610.06
base $93.83 · payer covered $1,460.06
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1969-08-12
- Stop
- 1969-08-12
The parties
- Patient
- patient Vito Nolan Bruen
- Provider
- provider Alethia Satterfield
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicaid
Record id
280b537b-944a-b81c-153c-916facf2a5e2