Claim total
$1,173.74
base $93.39 · payer covered $938.98
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2008-01-02
- Stop
- 2008-01-02
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Hazel Effertz
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-f877-fa4e1fbb2dbb