Claim total
$990.63
base $93.39 · payer covered $792.50
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2002-02-17
- Stop
- 2002-02-17
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-9d2d-3bf04cc4edef