Claim total
$891.49
base $93.39 · payer covered $624.04
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2018-03-09
- Stop
- 2018-03-09
The parties
- Patient
- patient Christel Torp
- Provider
- provider Floyd Toy
Record id
00edd987-99b7-13d9-f11d-3b5a74a2e749