Claim total
$645.63
base $93.39 · payer covered $645.63
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1998-06-12
- Stop
- 1998-06-12
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Lovie Turcotte
Record id
062f00f9-5db0-55c4-a01d-a3d3432a0fb5