Claim total
$901.56
base $93.83 · payer covered $721.23
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1991-02-20
- Stop
- 1991-02-20
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Kim Lind
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-5970-40d5d91f6a74