Claim total
$808.01
base $93.39 · payer covered $646.41
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-07-27
- Stop
- 1999-07-28
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Kelvin Reichel
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-bacd-076dcc4531c8