Claim total
$219.95
base $93.39 · payer covered $175.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1987-09-26
- Stop
- 1987-09-26
The parties
- Patient
- patient Luigi Ezekiel Stehr
- Provider
- provider Hazel Effertz
- Payer
- payer Medicare
Record id
0f90eec3-ef36-aefd-34b5-a77fff05c954