Claim total
$903.21
base $93.39 · payer covered $903.21
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-08-11
- Stop
- 1999-08-11
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Janice Huel
Record id
062f00f9-5db0-55c4-d2f7-e9758ef45515