Claim total
$219.95
base $93.39 · payer covered $184.95
The visit
- Class
- Ambulatory
- Code
- 185347001
- Reason
- diagnosis concept Chronic kidney disease stage 4431857002
- Start
- 1993-02-25
- Stop
- 1993-02-25
The parties
- Patient
- patient Morris Hartmann
- Provider
- provider Janice Huel
- Payer
- payer Dual Eligible
Record id
36a22334-42e4-d3c9-d36f-9c6bb97b5261