Claim total
$1,726.29
base $93.83 · payer covered $1,626.29
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2015-11-19
- Stop
- 2015-11-19
The parties
- Patient
- patient Audie Akiko Brakus
- Provider
- provider Alethia Satterfield
- Care site
- care site CENTRAL FAMILY CLINIC PLLC
- Payer
- payer Medicaid
Record id
2cc6ebbd-677c-12d9-0ee5-0ddf1604c57d