Claim total
$806.60
base $93.39 · payer covered $645.28
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-06-01
- Stop
- 1999-06-02
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-36d2-4837ea4cfc34