Claim total
$1,562.79
base $93.39 · payer covered $1,250.23
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1998-09-15
- Stop
- 1998-09-15
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Kim Lind
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-45b4-a80774266ef3