Claim total
$1,754.82
base $93.39 · payer covered $1,754.82
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2017-11-26
- Stop
- 2017-11-26
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-de12-9f7784ce5e0c