Claim total
$1,137.01
base $93.39 · payer covered $1,137.01
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1995-12-25
- Stop
- 1995-12-25
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Andria Spinka
Record id
062f00f9-5db0-55c4-32e1-e916090c0261