Claim total
$1,571.48
base $93.39 · payer covered $1,257.18
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2000-05-06
- Stop
- 2000-05-06
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-d26e-185a2d91085e