Claim total
$830.97
base $93.83 · payer covered $664.76
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 2002-05-08
- Stop
- 2002-05-08
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-101c-462b82ba32a5