Claim total
$1,124.19
base $93.39 · payer covered $1,124.19
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-06-29
- Stop
- 1997-06-29
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Andria Spinka
Record id
062f00f9-5db0-55c4-73be-5ea91291a95b