Claim total
$97.91
base $93.39 · payer covered $78.33
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1996-02-21
- Stop
- 1996-02-21
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-3452-fd843e4e0a5d