Claim total
$690.89
base $93.39 · payer covered $552.71
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2003-10-22
- Stop
- 2003-10-22
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-88c1-a73e8c538eef