Claim total
$823.07
base $93.39 · payer covered $823.07
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-09-18
- Stop
- 1997-09-18
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Janice Huel
Record id
062f00f9-5db0-55c4-62dc-1f98f1088c3b