Claim total
$1,381.64
base $93.39 · payer covered $1,381.64
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-06-22
- Stop
- 1999-06-22
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Ramiro Boehm
Record id
062f00f9-5db0-55c4-8f5d-521cb96203ab