Claim total
$1,168.63
base $93.39 · payer covered $1,168.63
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1997-04-21
- Stop
- 1997-04-21
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Andria Spinka
Record id
062f00f9-5db0-55c4-ed2f-0eec130c23c1