Claim total
$1,282.37
base $93.39 · payer covered $1,282.37
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-05-25
- Stop
- 1999-05-25
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Andria Spinka
Record id
062f00f9-5db0-55c4-71b1-b61fe5558a26