Claim total
$156.67
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Anemia271737000
- Start
- 1971-11-11
- Stop
- 1971-11-11
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Ramiro Boehm
- Payer
- payer No insurance
Record id
0054427e-44d7-94b2-54ec-25f957ed0fa5