Claim total
$1,355.90
base $93.39 · payer covered $1,084.72
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1997-07-16
- Stop
- 1997-07-16
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-4e84-c3461e1defde