Claim total
$1,633.56
base $93.39 · payer covered $1,306.85
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-10-17
- Stop
- 1999-10-17
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Lovie Turcotte
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-7a6f-2fdf4b1744a8