Claim total
$116.14
base $93.39 · payer covered $92.91
The visit
- Class
- Ambulatory
- Code
- 185349003
- Reason
- —
- Start
- 1999-07-14
- Stop
- 1999-07-14
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Antonietta Purdy
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-c2b8-ffeb78d7fba8