Claim total
$821.10
base $93.39 · payer covered $656.88
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1998-12-02
- Stop
- 1998-12-02
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-33c8-ba1c53dd5da9