Claim total
$1,295.22
base $93.39 · payer covered $1,036.17
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-06-11
- Stop
- 1999-06-11
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Janice Huel
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-da3a-1db5ee5eb1ef