Claim total
$1,754.82
base $93.39 · payer covered $1,186.59
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-02-21
- Stop
- 1997-02-21
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Hazel Effertz
Record id
062f00f9-5db0-55c4-c5a5-4ab61f87de8d