Claim total
$838.28
base $93.83 · payer covered $688.28
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1978-08-22
- Stop
- 1978-08-22
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-8ae6-22ea26af4976