Claim total
$93.41
base $93.39 · payer covered $74.73
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2005-06-29
- Stop
- 2005-06-29
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-d7e3-87a2f1867af6