Claim total
$1,099.46
base $93.39 · payer covered $879.55
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 2006-05-17
- Stop
- 2006-05-17
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Rosio Gleason
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-cf70-18815d719ee4