Claim total
$3,367.79
base $155.66 · payer covered $2,694.23
The visit
- Class
- Ambulatory
- Code
- 32485007
- Start
- 1999-05-12
- Stop
- 1999-05-12
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Maragaret Harber
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-cdc3-0c0c0090eec5