Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2007-07-11
- Stop
- 2007-07-11
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-724d-2df284a72ec5