Claim total
$695.67
base $93.39 · payer covered $486.97
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1998-02-26
- Stop
- 1998-02-26
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kelvin Reichel
Record id
062f00f9-5db0-55c4-c01e-4b71b33c093f