Claim total
$1,010.45
base $93.39 · payer covered $1,010.45
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1998-07-10
- Stop
- 1998-07-10
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hazel Effertz
Record id
062f00f9-5db0-55c4-285d-6384de6813c7