Claim total
$784.08
base $93.39 · payer covered $627.26
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 2007-03-18
- Stop
- 2007-03-18
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-c636-b23a30bb420d