Claim total
$1,722.21
base $93.39 · payer covered $1,377.77
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2003-09-22
- Stop
- 2003-09-22
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-d96b-d5ab9d04e13e