Claim total
$1,350.26
base $93.39 · payer covered $1,080.19
The visit
- Class
- Outpatient
- Code
- 185349003
- Reason
- —
- Start
- 1999-06-23
- Stop
- 1999-06-23
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Criselda Bartell
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-d727-8597c9087fdf