Claim total
$732.89
base $93.39 · payer covered $732.89
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-07-26
- Stop
- 1999-07-26
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hazel Effertz
Record id
062f00f9-5db0-55c4-4bf0-29c8dc40310c