Claim total
$1,168.10
base $155.66 · payer covered $934.47
The visit
- Class
- Ambulatory
- Code
- 439740005
- Reason
- diagnosis concept History of renal transplant161665007
- Start
- 2003-12-10
- Stop
- 2003-12-10
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Janice Huel
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-9189-bf049e69d52c