Claim total
$692.35
base $93.39 · payer covered $484.64
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-03-17
- Stop
- 1999-03-17
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kim Lind
Record id
062f00f9-5db0-55c4-949c-5d11447a088a