Claim total
$683.74
base $93.39 · payer covered $546.99
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1998-08-17
- Stop
- 1998-08-17
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Janice Huel
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-2655-c7a1bc3ff7d8