Claim total
$1,332.19
base $93.83 · payer covered $1,065.74
The visit
- Class
- Wellness
- Code
- 162673000
- Reason
- —
- Start
- 1999-04-21
- Stop
- 1999-04-21
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-353a-56ef8f9d1eb3