Claim total
$1,403.14
base $93.39 · payer covered $1,403.14
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-10-06
- Stop
- 1999-10-06
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Lovie Turcotte
Record id
062f00f9-5db0-55c4-2f35-f35c74a250de