Claim total
$1,030.25
base $93.83 · payer covered $824.18
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1992-02-26
- Stop
- 1992-02-26
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-1d9f-0ad4e9abd251