Claim total
$543.67
base $93.39 · payer covered $543.67
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2017-08-18
- Stop
- 2017-08-18
The parties
- Patient
- patient Christel Torp
- Provider
- provider Marcus Douglas
Record id
00edd987-99b7-13d9-c960-3c3c04a5c06c