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
- 1993-05-09
- Stop
- 1993-05-09
The parties
- Patient
- patient Colby Wintheiser
- Provider
- provider Andria Spinka
- Payer
- payer Medicare
Record id
20bc4efb-24a4-91b5-90b2-9643232f8f72