Claim total
$1,625.79
base $93.39 · payer covered $1,625.79
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-11-19
- Stop
- 1999-11-19
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kelvin Reichel
Record id
062f00f9-5db0-55c4-c3f4-e166786584d3