Claim total
$219.95
base $93.39 · payer covered $0.00
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept End-stage renal disease46177005
- Start
- 2012-07-29
- Stop
- 2012-07-29
The parties
- Patient
- patient Morton Jacob Hammes
- Provider
- provider Brian Gleason
- Care site
- care site MERCY HOSPITAL
- Payer
- payer Humana
Record id
20c17077-cace-abf3-3efa-521c1e4ea522