Claim total
$802.35
base $93.39 · payer covered $802.35
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-08-02
- Stop
- 1997-08-02
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kelvin Reichel
Record id
062f00f9-5db0-55c4-b313-88e633b712bc