Claim total
$157.11
base $93.83 · payer covered $125.68
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2018-11-18
- Stop
- 2018-11-18
The parties
- Patient
- patient Amelia Danyel Hintz
- Provider
- provider Georgetta Kohler
- Care site
- care site NORTH MEMORIAL HEALTH CARE
- Payer
- payer Medicare
Record id
007ab53b-1293-c7a9-a979-80f97daa9b4f