Claim total
$1,360.15
base $93.39 · payer covered $1,360.15
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1998-12-22
- Stop
- 1998-12-23
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Criselda Bartell
Record id
062f00f9-5db0-55c4-3688-838bdab1ba3c