Claim total
$1,196.86
base $93.39 · payer covered $957.49
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2000-12-30
- Stop
- 2000-12-30
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Kelvin Reichel
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-4c7f-3e0f2b9b63f8