Claim total
$774.02
base $93.39 · payer covered $619.21
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2009-09-26
- Stop
- 2009-09-26
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-b4a0-d25a4a78a64c