Claim total
$651.58
base $93.39 · payer covered $651.58
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1998-07-04
- Stop
- 1998-07-04
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hazel Effertz
Record id
062f00f9-5db0-55c4-bb39-ef1f759be0cd