Claim total
$1,104.76
base $93.39 · payer covered $1,104.76
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2018-01-27
- Stop
- 2018-01-27
The parties
- Patient
- patient Christel Torp
- Provider
- provider Liz Kozey
Record id
00edd987-99b7-13d9-ebfc-3478a3235c38