Claim total
$1,168.10
base $155.66 · payer covered $1,168.10
The visit
- Class
- Ambulatory
- Code
- 439740005
- Reason
- diagnosis concept History of renal transplant161665007
- Start
- 2021-12-29
- Stop
- 2021-12-29
The parties
- Patient
- patient Christel Torp
- Provider
- provider Silas Conn
Record id
00edd987-99b7-13d9-2964-b1d0735b991e