Claim total
$157.11
base $93.83 · payer covered $125.68
The visit
- Class
- Wellness
- Code
- 308646001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2021-01-07
- Stop
- 2021-01-07
The parties
- Provider
- provider Tangela Koelpin
- Payer
- payer Medicare
Record id
0366d403-b006-0b76-9542-8f211184c051