Claim total
$1,292.02
base $93.39 · payer covered $1,292.02
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-06-28
- Stop
- 1999-06-28
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Kim Lind
Record id
062f00f9-5db0-55c4-ec78-adba2a46b97e