Claim total
$933.39
base $93.39 · payer covered $746.70
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2005-07-20
- Stop
- 2005-07-20
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Janice Huel
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-2a65-30159cdf4636