Claim total
$722.98
base $93.39 · payer covered $578.38
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2001-07-01
- Stop
- 2001-07-01
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-a63c-1fd9a2f6b7ce