Claim total
$1,112.46
base $93.39 · payer covered $1,112.46
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1996-09-15
- Stop
- 1996-09-16
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Andria Spinka
Record id
062f00f9-5db0-55c4-66a5-d986be9f90c4