Claim total
$927.78
base $93.39 · payer covered $742.21
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2003-10-01
- Stop
- 2003-10-01
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-42a1-d9f0da94bc64