Claim total
$1,198.14
base $93.39 · payer covered $1,198.14
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1996-10-10
- Stop
- 1996-10-10
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Rosio Gleason
Record id
062f00f9-5db0-55c4-31c0-940a48d75416