Claim total
$153.62
base $93.39 · payer covered $122.89
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 2000-12-13
- Stop
- 2000-12-13
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-69fe-67afb4935e04