Claim total
$117.30
base $93.39 · payer covered $93.84
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2003-10-15
- Stop
- 2003-10-15
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-0ade-2d569c0d90aa