Claim total
$900.18
base $93.39 · payer covered $720.13
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2000-03-15
- Stop
- 2000-03-15
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Ramiro Boehm
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-cba1-ec67f5650285