Claim total
$694.53
base $93.39 · payer covered $555.61
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1995-01-11
- Stop
- 1995-01-11
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-6dc2-9bba21b9a2a7