Claim total
$1,754.82
base $93.39 · payer covered $1,403.85
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2003-10-25
- Stop
- 2003-10-25
The parties
- Patient
- patient Donny Wilfred Ruecker
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
0054427e-44d7-94b2-f9f1-631f7c0bec3c