Claim total
$900.62
base $93.83 · payer covered $720.48
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2007-07-04
- Stop
- 2007-07-04
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-3564-55f3e81f931f