Claim total
$532.08
base $93.39 · payer covered $372.45
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-04-01
- Stop
- 1999-04-02
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Rosio Gleason
Record id
062f00f9-5db0-55c4-be87-62f9707552a4