Claim total
$17,173.44
base $93.39 · payer covered $13,738.72
The visit
- Class
- Ambulatory
- Code
- 390906007
- Start
- 1999-04-12
- Stop
- 1999-04-12
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-78de-db4f8ddf374b