Claim total
$759.05
base $93.39 · payer covered $607.24
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2011-05-14
- Stop
- 2011-05-14
The parties
- Patient
- patient Lesia Catalina Ledner
- Provider
- provider Brian Gleason
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Medicare
Record id
058279b6-7701-4823-94a0-4e65a58865f4