Claim total
$1,003.28
base $93.39 · payer covered $1,003.28
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-09-05
- Stop
- 1997-09-05
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Criselda Bartell
Record id
062f00f9-5db0-55c4-6117-790e9897e067