Claim total
$1,754.82
base $93.39 · payer covered $1,228.37
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1999-03-07
- Stop
- 1999-03-07
The parties
- Patient
- patient Fermin Legros
- Provider
- provider Janice Huel
Record id
062f00f9-5db0-55c4-f9d6-2646eada95f8