Claim total
$1,568.76
base $93.39 · payer covered $537.99
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-02-20
- Stop
- 1999-02-20
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Andria Spinka
Record id
062f00f9-5db0-55c4-9ff5-696ea4ee2a0b