Claim total
$900.18
base $93.39 · payer covered $720.13
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2007-12-05
- Stop
- 2007-12-05
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-ca14-a80ab8640a99