Claim total
$1,728.64
base $93.39 · payer covered $1,382.91
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1998-04-30
- Stop
- 1998-04-30
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Hazel Effertz
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-0bd2-35e453865fb2