Claim total
$157.11
base $93.83 · payer covered $94.27
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2011-07-02
- Stop
- 2011-07-02
The parties
- Patient
- patient Bradford Bennie Klein
- Provider
- provider Jared Berge
- Payer
- payer Humana
Record id
01bbe7d1-151b-3eec-ee83-153886250d71