Claim total
$1,536.68
base $93.39 · payer covered $1,536.68
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1998-12-01
- Stop
- 1998-12-01
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Rosio Gleason
Record id
062f00f9-5db0-55c4-43b9-7723f101dc02