Claim total
$932.80
base $93.83 · payer covered $746.22
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2006-06-21
- Stop
- 2006-06-21
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Kelvin Reichel
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-a6a5-0efdc3d7bec0