Claim total
$626.58
base $93.39 · payer covered $626.58
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2017-10-19
- Stop
- 2017-10-19
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-2ccc-dbe4c3686bfc