Claim total
$422.66
base $93.39 · payer covered $338.12
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1993-07-07
- Stop
- 1993-07-07
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-4be6-afd4c5a75995