Claim total
$794.51
base $93.39 · payer covered $794.51
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2017-07-27
- Stop
- 2017-07-27
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-c051-fa7213d105e7