Claim total
$1,166.82
base $93.83 · payer covered $933.43
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2001-05-02
- Stop
- 2001-05-02
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Janice Huel
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-e9dd-7679660fb060