Claim total
$1,583.16
base $93.39 · payer covered $1,583.16
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1996-05-11
- Stop
- 1996-05-11
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Janice Huel
Record id
062f00f9-5db0-55c4-b75c-8926ee7a9c51