Claim total
$1,061.00
base $93.39 · payer covered $742.70
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2021-03-05
- Stop
- 2021-03-05
The parties
- Patient
- patient Christel Torp
- Provider
- provider Floyd Toy
Record id
00edd987-99b7-13d9-a911-7d14ad0b906f